Square Medical Group Llc
LBN: Square Medical Group Llc
Square Medical Group Llc is an health care organization with primary practice located at 124 Watertown St Suite 2D, Watertown MA 02472-2576. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Square Medical Group Llc can be contacted via phone (617) 916-5069, or through Lender, Natalie Leonid via phone (617) 916-5069.
Contact Information
Primary practice address
124 Watertown St Suite 2D
Watertown MA 02472-2576
Phone: (617) 916-5069
Fax: (617) 467-4073
Website:
Authorized official contact:
Name: Lender, Natalie Leonid Doctor of Medicine (MD)
Phone: (617) 916-5069
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 152859 | Massachusetts |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 152859 | Massachusetts |
Profile Details
| NPI number | 1356515464 |
|---|---|
| LBN Legal business name | Square Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Lender, Natalie Leonid Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2008 |
| Last updated | Aug 13th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356515464 | NPPES |
| Massachusetts | MEDICAID | 3173615 |
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