Stoneham Medical Group Llc
LBN: Stoneham Medical Group Llc
Stoneham Medical Group Llc is an health care organization with primary practice located at 88 Montvale Ave 2, Stoneham MA 02180-3643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Stoneham Medical Group Llc can be contacted via phone (781) 481-9255, or through Wills, Eileen via phone (781) 756-7273.
Contact Information
Primary practice address
88 Montvale Ave 2
Stoneham MA 02180-3643
Phone: (781) 481-9255
Fax: (781) 481-9257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52067 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 152386 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 206855 | Massachusetts |
Profile Details
| NPI number | 1346222064 |
|---|---|
| LBN Legal business name | Stoneham Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Wills, Eileen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Apr 22nd, 2015 - about 9 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 | 1346222064 | NPPES |
| Massachusetts | MEDICAID | 9784993 |
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