Boris Balson, Pc

LBN: Boris Balson, Pc
Boris Balson, Pc is an health care organization with primary practice located at 1180 Beacon St Ste 6A , Brookline MA 02446-3806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as the primary health care specialty. Boris Balson, Pc can be contacted via phone (617) 731-1203, or through Caccavaro, Vera via phone (781) 933-3734.

Contact Information

Primary practice address
1180 Beacon St Ste 6A Brookline MA 02446-3806
Fax:
Website:
Authorized official contact:
Name: Caccavaro, Vera

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 151394 Massachusetts

Profile Details

NPI number 1144490988
LBN Legal business name Boris Balson, Pc
DBA Doing business as
Authorized official Caccavaro, Vera
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2008
Last updated Jan 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144490988 NPPES
Massachusetts MEDICAID 9786465
Massachusetts Other M17374

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