MARLBORO INTERNAL MEDICINE P.C NPI 1477764116

NPI Information

NPI: 1477764116
Provider Name: MARLBORO INTERNAL MEDICINE P.C
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 22D1004757

Address:
65 FREMONT ST
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 303-8553
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MARLBORO INTERNAL MEDICINE P.C is a primary care clinic center in Marlborough, MA. MARLBORO INTERNAL MEDICINE P.C NPI is 1477764116. The provider is registered as an organization entity type.

The provider's business location address is:

65 FREMONT ST
MARLBOROUGH, MA
ZIP 01752-271
Phone: (508) 303-8553
Fax: (508) 303-0665

The provider's authorized official is Lalita Matta .
The authorized official title is Owner and has the following contact phone number (508) 303-8553.

The CLIA number assigned to this NPI record is 22D1004757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2007 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
1	261QP2300X	Clinic/Center	Primary Care	78051	MASSACHUSETTS	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

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