Active NPIOrganization

Medford Surgery Center LLC

Clinic/Center, Ambulatory Surgical in Medford, Massachusetts

NPI Number1073149365
Practice location
170 Governors Ave Ste 100, Medford, MA 02155-1643
Fax
—
Last updated
April 17, 2026

Medford Surgery Center LLC is a healthcare organization based in Medford, MA. Medford Surgery Center LLC practices in Medford, MA. The NPI Number for Medford Surgery Center LLC is 1073149365. The current practice location address for Medford Surgery Center LLC is 170 Governors Ave Ste 100, Medford, MA 02155-1643 and can be reached out via phone at 800-258-4674.

Provider Profile Details

NPI Number
1073149365
Provider Name
Medford Surgery Center LLC
Provider Entity Type
Organization
Address
170 Governors Ave Ste 100, Medford, MA 02155-1643
Phone Number
800-258-4674
Primary Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X
Organization Subpart
No
Authorized Official
Kristen Delmore · Cfo · 617-376-7400
Provider Enumeration Date
March 18, 2020
Last Update Date
April 17, 2026
Certification Date
April 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Governors Ave Ste 100
Medford, MA 02155-1643
Zip
02155-1643
Phone Number
800-258-4674
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
700 Congress St
Quincy, MA 02169-0909
City
Quincy
State
MA
Zip
02169-0909

License Information

Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X · 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 Medford Surgery Center LLC?

The NPI number of Medford Surgery Center LLC is 1073149365. It was assigned on March 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Medford Surgery Center LLC?

Medford Surgery Center LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X).

Where does Medford Surgery Center LLC practice?

The practice location is 170 Governors Ave Ste 100, Medford, MA 02155-1643. The office can be reached at 800-258-4674 (phone).

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 1073149365 directly on the NPPES registry website.

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