BOMAN SURGICAL SPECIALISTSPC NPI 1467575951

NPI Information

  • NPI: 1467575951
  • Provider Name: BOMAN SURGICAL SPECIALISTS,PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 300 HANOVER ST
    SUITE 1A
    FALL RIVER, MA
    ZIP 02720
  • Phone: (508) 679-7369

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NPI Details

BOMAN SURGICAL SPECIALISTS,PC is a specialist in Fall River, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BOMAN SURGICAL SPECIALISTS,PC NPI is 1467575951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 HANOVER ST
SUITE 1A
FALL RIVER, MA
ZIP 02720-444
Phone: (508) 679-7369
Fax: (508) 679-7750

The provider's authorized official is Lars Boman .
The authorized official title is President-owner and has the following contact phone number (508) 679-7369.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialist60137MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BS44124MEDICAIDMASSACHUSETTS
2BC BS OF MAOTHERMASSACHUSETTSM18033
3D165OTHERMASSACHUSETTSHARVARD PILGRIM

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: 11/21/2025

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