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SUBURBAN INTERNAL MEDICINE INC. NPI 1659381192


NPI Information

NPI: 1659381192
Provider Name: SUBURBAN INTERNAL MEDICINE, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D0068201

Address:
710 STOCKBRIDGE RD
LEE, MA
ZIP 01238
Phone: (413) 243-0122
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SUBURBAN INTERNAL MEDICINE, INC. is a family medicine in Lee, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUBURBAN INTERNAL MEDICINE, INC. NPI is 1659381192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 STOCKBRIDGE RD
LEE, MA
ZIP 01238-316
Phone: (413) 243-0122
Fax: (413) 243-2251

The provider's authorized official is Laurie Mitchell .
The authorized official title is Office Manager and has the following contact phone number (413) 243-0122.

The CLIA number assigned to this NPI record is 22D0068201 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/8/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine205153MASSACHUSETTSYes
2207R00000XInternal Medicine160149MASSACHUSETTSX
3207R00000XInternal Medicine152983MASSACHUSETTSX
4207R00000XInternal Medicine55555MASSACHUSETTSX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19702351MEDICAIDMASSACHUSETTS

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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