Boulanger, Brittanny L
Boulanger, Brittanny L is an individual health care provider with primary practice located at 20 Wall St , Burlington MA 01803-4758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boulanger, Brittanny L can be contacted via phone (781) 221-2800.Contact Information
Primary practice address
20 Wall St
Burlington MA 01803-4758
Phone: (781) 221-2800
Fax: (781) 221-2680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 222904 | Massachusetts |
Profile Details
| NPI number | 1184600348 |
|---|---|
| LBN Legal business name | Boulanger, Brittanny L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Oct 27th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184600348 | NPPES |
| Massachusetts | Other | J28244 | BLUE CROSS |
| Massachusetts | Other | AA22517 | BLUE CROSS |
| Massachusetts | Other | 0034307 | BLUE CROSS |
| Massachusetts | MEDICAID | 2091119 | BLUE CROSS |
| Massachusetts | Other | 470055 | BLUE CROSS |
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