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CHESTNUT HILL PROACTIVE MD P.C. NPI 1376066621


NPI Information

NPI: 1376066621
Provider Name: CHESTNUT HILL PROACTIVE, MD, P.C.

Doing Business As: LT PROACTIVE CARE - CHESTNUT HILL MEDICAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
300 BOYLSTON ST
CHESTNUT HILL, MA
ZIP 02467
Phone: (781) 797-2057
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CHESTNUT HILL PROACTIVE, MD, P.C. is a primary care clinic center in Chestnut Hill, MA. CHESTNUT HILL PROACTIVE, MD, P.C. NPI is 1376066621. The provider is registered as an organization entity type.
The provider Is Doing Business As Lt Proactive Care - Chestnut Hill Medical.

The provider's business location address is:

300 BOYLSTON ST
CHESTNUT HILL, MA
ZIP 02467-959
Phone: (781) 797-2057

The provider's authorized official is Jessica Amorosino .
The authorized official title is Owner and has the following contact phone number (781) 797-2057.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 7/19/2017.


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
1261QP2300XClinic/CenterPrimary CareYes

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

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