Boulevard Medical Group Inc.

LBN: Boulevard Medical Group Inc.
Boulevard Medical Group Inc. is an health care organization with primary practice located at 338 Plantation St , Worcester MA 01604-1637. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Boulevard Medical Group Inc. can be contacted via phone (508) 762-4480, or through Chitre, Harshad via phone (508) 762-4480.

Contact Information

Primary practice address
338 Plantation St Worcester MA 01604-1637
Phone: (508) 762-4480
Fax: (508) 752-1404
Website:
Map and Directions
Authorized official contact:
Name: Chitre, Harshad Doctor of Medicine (MD)
Phone: (508) 762-4480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1487700522
LBN Legal business name Boulevard Medical Group Inc.
DBA Doing business as
Authorized official Chitre, Harshad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487700522 NPPES
Massachusetts MEDICAID 9764500

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