FORM ASSOCIATES P.A. NPI 1740971605

NPI Information

  • NPI: 1740971605
  • Provider Name: FORM ASSOCIATES, P.A.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 179 LINCOLN ST STE 404
    BOSTON, MA
    ZIP 02111
  • Phone: (617) 505-1520

Map and Directions

Get Directions

NPI Details

FORM ASSOCIATES, P.A. is an endocrinology and diabetes and metabolism internal medicine in Boston, MA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. FORM ASSOCIATES, P.A. NPI is 1740971605. The provider is registered as an organization entity type.

The provider's business location address is:

179 LINCOLN ST STE 404
BOSTON, MA
ZIP 02111-425
Phone: (617) 505-1520
Fax: (617) 928-8401

The provider's authorized official is Elizabeth Lowden .
The authorized official title is Owner and has the following contact phone number (617) 505-1520.

The enumeration date for this NPI number is 5/19/2023 and was last updated on 5/19/2023.

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
1261QH0100XClinic/CenterHealth ServiceNo
2207Q00000XFamily MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI