Provider Type Icon

LANDMARK MEDICAL OF MASSACHUSETTS PLLC NPI 1841739489


NPI Information

NPI: 1841739489
Provider Name: LANDMARK MEDICAL OF MASSACHUSETTS PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 22D2130493

Address:
1400 COMPUTER DR
WESTBOROUGH, MA
ZIP 01581
Phone: (657) 400-5180
Get Directions

LANDMARK MEDICAL OF MASSACHUSETTS PLLC is a general practice in Westborough, MA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LANDMARK MEDICAL OF MASSACHUSETTS PLLC NPI is 1841739489. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 COMPUTER DR
WESTBOROUGH, MA
ZIP 01581-760
Phone: (657) 400-5180
Fax: (844) 698-7227

The provider's authorized official is Christopher Dennis .
The authorized official title is Chief Medical Officer and has the following contact phone number (657) 237-2450.

The CLIA number assigned to this NPI record is 22D2130493 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 1/30/2024.


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 PracticeYes

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

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.