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RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC NPI 1962826354


NPI Information

NPI: 1962826354
Provider Name: RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D2088164

Address:
332 WASHINGTON STREET
200
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-4088
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RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC is a family medicine in Wellesley, 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. RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC NPI is 1962826354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

332 WASHINGTON STREET
200
WELLESLEY, MA
ZIP 02481-217
Phone: (781) 235-4088

The provider's authorized official is Geoffrey M Burns .
The authorized official title is Sole Proprietor and has the following contact phone number (781) 235-4088.

The CLIA number assigned to this NPI record is 22D2088164 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 2/14/2024.


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
1207Q00000XFamily Medicine155576MASSACHUSETTSYes

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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