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HEALTHWORKS MED GROUP OF MASSACHUSETTS P C NPI 1356781389


NPI Information

NPI: 1356781389
Provider Name: HEALTHWORKS MED GROUP OF MASSACHUSETTS P C

Doing Business As: LIBERTY HEALTH CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 22D2061989

Address:
175 BERKELEY ST
BOSTON, MA
ZIP 02116
Phone: (857) 224-9355
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HEALTHWORKS MED GROUP OF MASSACHUSETTS P C is a general practice in Boston, MA. HEALTHWORKS MED GROUP OF MASSACHUSETTS P C NPI is 1356781389. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Liberty Health Center.

The provider's business location address is:

175 BERKELEY ST
BOSTON, MA
ZIP 02116-066
Phone: (857) 224-9355
Fax: (857) 224-9300

The provider's authorized official is Peter J Vasquez .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The CLIA number assigned to this NPI record is 22D2061989 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2013 and was last updated on 2/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.