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WELLSPRING PHYSICIAN P.C. - MA NPI 1265971105


NPI Information

NPI: 1265971105
Provider Name: WELLSPRING PHYSICIAN, P.C. - MA

Other Name: WELLSPRING PHYSICIAN, P.C. (MA)

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
84 STATE ST
BOSTON, MA
ZIP 02109
Phone: (877) 872-0370
Get Directions

WELLSPRING PHYSICIAN, P.C. - MA is a family medicine in Boston, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WELLSPRING PHYSICIAN, P.C. - MA NPI is 1265971105. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wellspring Physician, P.c. (ma).

The provider's business location address is:

84 STATE ST
BOSTON, MA
ZIP 02109-202
Phone: (877) 872-0370
Fax: (855) 908-2520

The provider's authorized official is Kathryn J Sowerwine .
The authorized official title is Cmo and has the following contact phone number (979) 221-1398.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 3/15/2024.


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
1207K00000XAllergy & ImmunologyNo
2207P00000XEmergency MedicineNo
3207Q00000XFamily MedicineYes
4207R00000XInternal MedicineNo

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

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.