Southboro Medical Group, Inc.
LBN: Southboro Medical Group, Inc.
Southboro Medical Group, Inc. is an health care organization with primary practice located at 24 Newton St , Southborough MA 01772-1215. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty.
Southboro Medical Group, Inc. can be contacted via phone (508) 481-5500, or through Ostrovsky, Marvin C. via phone (508) 481-5500.
Contact Information
Primary practice address
24 Newton St
Southborough MA 01772-1215
Phone: (508) 481-5500
Fax: (508) 460-3025
Website:
Authorized official contact:
Name: Ostrovsky, Marvin C. Doctor of Medicine (MD)
Phone: (508) 481-5500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1568473635 |
|---|---|
| LBN Legal business name | Southboro Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Ostrovsky, Marvin C. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1568473635 | NPPES |
| Massachusetts | MEDICAID | 9706127 |
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