Boston Pain Clinic & Primary Care Pc

LBN: Boston Pain Clinic & Primary Care Pc
Boston Pain Clinic & Primary Care Pc is an health care organization with primary practice located at 188 Providence St , Hyde Park MA 02136-1856. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Boston Pain Clinic & Primary Care Pc can be contacted via phone (617) 361-2166, or through Feliz, Roberto via phone (617) 361-2166.

Contact Information

Primary practice address
188 Providence St Hyde Park MA 02136-1856
Phone: (617) 361-2166
Fax: (617) 361-2166
Website:
Map and Directions
Authorized official contact:
Name: Feliz, Roberto Doctor of Medicine (MD)
Phone: (617) 361-2166

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 79427 Massachusetts

Profile Details

NPI number 1790810745
LBN Legal business name Boston Pain Clinic & Primary Care Pc
DBA Doing business as
Authorized official Feliz, Roberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 31st, 2016 - about 10 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 1790810745 NPPES
Massachusetts MEDICAID 3126501

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