NEUROSPORTELITE NORTH BOSTON LLC NPI 1043757115

NPI Information

NPI: 1043757115
Provider Name: NEUROSPORTELITE NORTH BOSTON, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
78 OLYMPIA AVE
WOBURN, MA
ZIP 01801
Phone: (608) 988-8088
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NEUROSPORTELITE NORTH BOSTON, LLC is a health service clinic center in Woburn, MA. NEUROSPORTELITE NORTH BOSTON, LLC NPI is 1043757115. The provider is registered as an organization entity type.

The provider's business location address is:

78 OLYMPIA AVE
WOBURN, MA
ZIP 01801-057
Phone: (608) 988-8088
Fax: (888) 456-2475

The provider's authorized official is Spencer Howard Baron .
The authorized official title is President and has the following contact phone number (954) 800-5017.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 1/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	3375	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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