Id Of Massachusetts Llc

LBN: Id Of Massachusetts Llc
Id Of Massachusetts Llc is an health care organization with primary practice located at 500 Congress St Ste B1 , Quincy MA 02169-0917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Id Of Massachusetts Llc can be contacted via phone (617) 472-6764, or through Haley, Jennifer T via phone (561) 314-2000.

Contact Information

Primary practice address
500 Congress St Ste B1 Quincy MA 02169-0917
Phone: (617) 472-6764
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haley, Jennifer T Doctor of Medicine (MD)
Phone: (561) 314-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1477229326
LBN Legal business name Id Of Massachusetts Llc
DBA Doing business as
Authorized official Haley, Jennifer T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2021
Last updated Aug 20th, 2021 - about 3 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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