Provider Demographics
NPI:1982664967
Name:GENZYME CORPORATION
Entity Type:Organization
Organization Name:GENZYME CORPORATION
Other - Org Name:GENZYME CORPORATION ON BEHALF OF ITS GENETICS BUSINESS UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:SENIOR VP AND GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:L
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-898-9001
Mailing Address - Street 1:3400 COMPUTER DR
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1771
Mailing Address - Country:US
Mailing Address - Phone:508-898-9001
Mailing Address - Fax:508-389-5518
Practice Address - Street 1:1054 W TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4716
Practice Address - Country:US
Practice Address - Phone:714-245-9240
Practice Address - Fax:714-245-9259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF 10078291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALAB58819FMedicaid
CA05D0667837Medicare PIN