Form Associates, P.A.

LBN: Form Associates, P.A.
Form Associates, P.A. is an health care organization with primary practice located at 179 Lincoln St Ste 404 , Boston MA 02111-2425. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Ambulatory Health Care Facilities / Health Service. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Form Associates, P.A. can be contacted via phone (617) 505-1520, or through Lowden, Elizabeth via phone (617) 505-1520.

Contact Information

Primary practice address
179 Lincoln St Ste 404 Boston MA 02111-2425
Phone: (617) 505-1520
Fax: (617) 928-8401
Website:
Map and Directions
Authorized official contact:
Name: Lowden, Elizabeth Doctor of Medicine (MD)
Phone: (617) 505-1520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1740971605
LBN Legal business name Form Associates, P.A.
DBA Doing business as
Authorized official Lowden, Elizabeth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2023
Last updated May 19th, 2023 - about last year

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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