Provider Demographics
NPI:1881810703
Name:HARVARD PARTNERS CENTER FOR GENETICS AND GENOMICS
Entity type:Organization
Organization Name:HARVARD PARTNERS CENTER FOR GENETICS AND GENOMICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJU
Authorized Official - Middle Name:
Authorized Official - Last Name:KUCHERLAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-525-4445
Mailing Address - Street 1:77 AVENUE LOUIS PASTEUR
Mailing Address - Street 2:NRB-250
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-525-4482
Mailing Address - Fax:
Practice Address - Street 1:65 LANDSDOWNE STREET
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-768-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory