Provider Demographics
NPI:1093119240
Name:CNV BIDCO LLC
Entity Type:Organization
Organization Name:CNV BIDCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DERYA
Authorized Official - Middle Name:BORA
Authorized Official - Last Name:HAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-739-2100
Mailing Address - Street 1:31 PINE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1642
Mailing Address - Country:US
Mailing Address - Phone:617-739-7100
Mailing Address - Fax:617-739-7400
Practice Address - Street 1:31 PINE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056-1642
Practice Address - Country:US
Practice Address - Phone:617-739-7100
Practice Address - Fax:617-739-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty