Fidelity Health & Wellness Center

LBN: Premise Health Of Massachusetts, Medical Pc
Fidelity Health & Wellness Center is an health care organization with primary practice located at 245 Summer St Ste 1100 , Boston MA 02210. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Premise Health Of Massachusetts, Medical Pc can be contacted via phone (617) 563-9119, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
245 Summer St Ste 1100 Boston MA 02210
Phone: (617) 563-9119
Fax: (617) 692-6389
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon Doctor of Medicine (MD)
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1215231071
LBN Legal business name Premise Health Of Massachusetts, Medical Pc
DBA Doing business as Fidelity Health & Wellness Center
Authorized official Leizman, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2011
Last updated Aug 24th, 2022 - about 2 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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