Provider Demographics
NPI:1790284784
Name:MEDICUS TRANSLATIONAL, LLC
Entity Type:Organization
Organization Name:MEDICUS TRANSLATIONAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:GUIDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIDOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-744-9850
Mailing Address - Street 1:11 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-3403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-3403
Practice Address - Country:US
Practice Address - Phone:617-744-9850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service