Provider Demographics
NPI:1053980276
Name:BOSTONGENE CORPORATION
Entity type:Organization
Organization Name:BOSTONGENE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP STRATEGIC PARTNERSHIP
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-721-6222
Mailing Address - Street 1:95 SAWYER RD STE 500
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3462
Mailing Address - Country:US
Mailing Address - Phone:781-467-6870
Mailing Address - Fax:
Practice Address - Street 1:95 SAWYER RD STE 500
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-3462
Practice Address - Country:US
Practice Address - Phone:781-467-6870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory