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FORM HEALTH ASSOCIATES (MA) P.C. NPI 1386260594


NPI Information

NPI: 1386260594
Provider Name: FORM HEALTH ASSOCIATES (MA), P.C.
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
179 LINCOLN ST STE 404
BOSTON, MA
ZIP 02111
Phone: (617) 505-1520
Get Directions

FORM HEALTH ASSOCIATES (MA), P.C. is an endocrinology and diabetes and metabolism internal medicine in Boston, MA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. FORM HEALTH ASSOCIATES (MA), P.C. NPI is 1386260594. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

179 LINCOLN ST STE 404
BOSTON, MA
ZIP 02111-425
Phone: (617) 505-1520

The provider's authorized official is Nam H Kim .
The authorized official title is President and has the following contact phone number (617) 505-1520.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 2/24/2022.


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
1207Q00000XFamily MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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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