PREMISE HEALTH OF MASSACHUSETTS MEDICAL PC NPI 1417548850

NPI Information

NPI: 1417548850
Provider Name: PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC

Doing Business As: BAE SYSTEMS LEXINGTON MA

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
2 FORBES RD
LEXINGTON, MA
ZIP 02421
Phone: (781) 863-3206
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PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC is an occupational medicine clinic center in Lexington, MA. PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC NPI is 1417548850. The provider is registered as an organization entity type.
The provider Is Doing Business As Bae Systems Lexington Ma.

The provider's business location address is:

2 FORBES RD
LEXINGTON, MA
ZIP 02421-306
Phone: (781) 863-3206
Fax: (781) 863-4047

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 22D0870923 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 8/24/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine			Yes

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

NPI Synchronization or Removal

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