Provider Demographics
NPI:1154054393
Name:CAMBRIDGE BIOTHERAPIES PC
Entity Type:Organization
Organization Name:CAMBRIDGE BIOTHERAPIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:MONICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-764-6430
Mailing Address - Street 1:6 BIGELOW ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-2384
Mailing Address - Country:US
Mailing Address - Phone:617-803-9722
Mailing Address - Fax:617-812-1680
Practice Address - Street 1:6 BIGELOW ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-2384
Practice Address - Country:US
Practice Address - Phone:617-803-9722
Practice Address - Fax:617-812-1680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty