Active NPIOrganization

Boston Body Evolution LLC

Specialist in Chestnut Hill, Massachusetts

NPI Number1033566328
Practice location
1290 Boylston Street, Chestnut Hill, MA 02467
Fax
212-253-4039
Last updated
May 17, 2016

Boston Body Evolution LLC is a healthcare organization based in Chestnut Hill, MA. Boston Body Evolution LLC practices in Chestnut Hill, MA. The NPI Number for Boston Body Evolution LLC is 1033566328 and holds a License No. 245841 (MA). The current practice location address for Boston Body Evolution LLC is 1290 Boylston Street, Chestnut Hill, MA 02467 and can be reached out via phone at 617-396-7899 and via fax at 212-253-4039.

Provider Profile Details

NPI Number
1033566328
Provider Name
Boston Body Evolution LLC
Provider Entity Type
Organization
Address
1290 Boylston Street, Chestnut Hill, MA 02467
Phone Number
617-396-7899
Fax Number
212-253-4039
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Michael Nguyen, MD · Authorized Official · 617-396-7899
Provider Enumeration Date
May 17, 2016
Last Update Date
May 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1290 Boylston Street
Chestnut Hill, MA 02467
Zip
02467
Phone Number
617-396-7899
Fax Number
212-253-4039
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
1300 Boylston Street
Chestnut, MA 02467
City
Chestnut
State
MA
Zip
02467
Phone Number
617-396-7899
Fax Number
212-253-4039

License Information

License Number
245841
License State
MA
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Boston Body Evolution LLC?

The NPI number of Boston Body Evolution LLC is 1033566328. It was assigned on May 17, 2016 and is currently active in the NPPES registry.

What is the specialty of Boston Body Evolution LLC?

Boston Body Evolution LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 245841.

Where does Boston Body Evolution LLC practice?

The practice location is 1290 Boylston Street, Chestnut Hill, MA 02467. The office can be reached at 617-396-7899 (phone) or 212-253-4039 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033566328 directly on the NPPES registry website.

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