Badlissi, Antoine

Badlissi, Antoine is an individual health care provider with primary practice located at 90 Libbey Pkwy Ste 201 , Weymouth MA 02189-3157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Badlissi, Antoine can be contacted via phone (781) 682-0600.

Contact Information

Primary practice address
90 Libbey Pkwy Ste 201 Weymouth MA 02189-3157
Phone: (781) 682-0600
Fax: (781) 682-0601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55577 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 55577 Massachusetts

Profile Details

NPI number 1912995945
LBN Legal business name Badlissi, Antoine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912995945 NPPES
Other B10159201 CIGNA HEALTH CARE
Other 055577 CIGNA HEALTH CARE
Other 103220 - 002 CIGNA HEALTH CARE
Other 290014542 CIGNA HEALTH CARE
Other J08383 CIGNA HEALTH CARE
Other 23056 CIGNA HEALTH CARE
MEDICAID 3046877 CIGNA HEALTH CARE
Other 000000020812 CIGNA HEALTH CARE
Other 0004983 CIGNA HEALTH CARE

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