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BOSTON CENTER FOR AMBULATORY SURGERY INC NPI 1366544496


NPI Information

NPI: 1366544496
Provider Name: BOSTON CENTER FOR AMBULATORY SURGERY INC

Doing Business As: THE BOSTON CENTER

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 22D1079441

Address:
170 COMMONWEALTH AVE
BOSTON, MA
ZIP 02116
Phone: (617) 267-0710
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BOSTON CENTER FOR AMBULATORY SURGERY INC is a plastic and reconstructive surgery surgery in Boston, MA. The provider is a surgeon who specializes in plastic and reconstructive surgery. BOSTON CENTER FOR AMBULATORY SURGERY INC NPI is 1366544496. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Boston Center.

The provider's business location address is:

170 COMMONWEALTH AVE
BOSTON, MA
ZIP 02116
Phone: (617) 267-0710
Fax: (617) 236-8704

The provider's authorized official is Ann Marie Mcgrane .
The authorized official title is Administrator and has the following contact phone number (978) 535-6043.

The CLIA number assigned to this NPI record is 22D1079441 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 6/3/2008.


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
12086S0122XSurgeryPlastic and Reconstructive Surgery221000MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M13312MEDICARE PINMASSACHUSETTS
2BOM77001OTHERBLUE CROSS BLUE SHIELD
3221000MEDICARE PINMASSACHUSETTS

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: 4/28/2024

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