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HARBORMED LLC NPI 1629497417


NPI Information

NPI: 1629497417
Provider Name: HARBORMED LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 22D2088394

Address:
21 SCHOOL ST
SUITE 1
QUINCY, MA
ZIP 02169
Phone: (617) 332-4780
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HARBORMED LLC is a general practice in Quincy, MA. HARBORMED LLC NPI is 1629497417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 SCHOOL ST
SUITE 1
QUINCY, MA
ZIP 02169-640
Phone: (617) 332-4780

The provider's authorized official is Israel Mayer Stein .
The authorized official title is Managing Director and has the following contact phone number (617) 332-4780.

The CLIA number assigned to this NPI record is 22D2088394 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.


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
1208D00000XGeneral Practice33623MASSACHUSETTSYes

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: 11/14/2023

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.