Mystic Medical Group, INC.
Internal Medicine, Pulmonary Disease in Medford, Massachusetts
1245218676- Practice location
- 170 Governors Ave, Medford, MA 02155-1643
- Phone
- 781-391-4106
- Fax
- 781-391-3043
- Last updated
- October 21, 2010
Mystic Medical Group, INC. is a healthcare organization based in Medford, MA. Mystic Medical Group, INC. practices in Medford, MA. The NPI Number for Mystic Medical Group, INC. is 1245218676. The current practice location address for Mystic Medical Group, INC. is 170 Governors Ave, Medford, MA 02155-1643 and can be reached out via phone at 781-391-4106 and via fax at 781-391-3043.
Provider Profile Details
- NPI Number
- 1245218676
- Provider Name
- Mystic Medical Group, INC.
- Provider Entity Type
- Organization
- Address
- 170 Governors Ave, Medford, MA 02155-1643
- Phone Number
- 781-391-4106
- Fax Number
- 781-391-3043
- Primary Taxonomy
- Internal Medicine, Pulmonary Disease · 207RP1001X
- Organization Subpart
- No
- Authorized Official
- Dr. Robert S Weinstein, MD · President · 781-391-0801
- Provider Enumeration Date
- January 5, 2006
- Last Update Date
- October 21, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Governors Ave
Medford, MA 02155-1643 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-1643
- Phone Number
- 781-391-4106
- Fax Number
- 781-391-3043
Provider Business Mailing Address Details
- Address
- 170 Governors Ave
Medford, MA 02155-1643 - City
- Medford
- State
- MA
- Zip
- 02155-1643
- Phone Number
- 781-391-0801
- Fax Number
- 781-391-3793
License Information
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X
- Taxonomy (3)
- Internal Medicine, Pulmonary Disease · 207RP1001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mystic Medical Group, INC.?
The NPI number of Mystic Medical Group, INC. is 1245218676. It was assigned on January 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Mystic Medical Group, INC.?
Mystic Medical Group, INC. is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X).
Where does Mystic Medical Group, INC. practice?
The practice location is 170 Governors Ave, Medford, MA 02155-1643. The office can be reached at 781-391-4106 (phone) or 781-391-3043 (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 1245218676 directly on the NPPES registry website.