Boston Food Allergy Center LLC
Internal Medicine, Gastroenterology in Boston, Massachusetts
1386019503- Practice location
- 65 Harrison Ave Ste 201, Boston, MA 02111-1924
- Phone
- 617-636-8858
- Fax
- 617-636-8826
- Last updated
- July 18, 2022
Boston Food Allergy Center LLC is a healthcare organization based in Boston, MA. Boston Food Allergy Center LLC practices in Boston, MA. The NPI Number for Boston Food Allergy Center LLC is 1386019503 and holds a License No. 230907 (MA). The current practice location address for Boston Food Allergy Center LLC is 65 Harrison Ave Ste 201, Boston, MA 02111-1924 and can be reached out via phone at 617-636-8858 and via fax at 617-636-8826.
Provider Profile Details
- NPI Number
- 1386019503
- Provider Name
- Boston Food Allergy Center LLC
- Provider Entity Type
- Organization
- Address
- 65 Harrison Ave Ste 201, Boston, MA 02111-1924
- Phone Number
- 617-636-8858
- Fax Number
- 617-636-8826
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Shaun White · Credentialing Manager · 502-244-9859
- Provider Enumeration Date
- December 14, 2015
- Last Update Date
- July 18, 2022
- Certification Date
- July 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Harrison Ave Ste 201
Boston, MA 02111-1924 - City
- Boston
- State
- Massachusetts
- Zip
- 02111-1924
- Phone Number
- 617-636-8858
- Fax Number
- 617-636-8826
Provider Business Mailing Address Details
- Address
- 1 Nassau Street Unit 1906
Boston, MA 02111-1587 - City
- Boston
- State
- MA
- Zip
- 02111-1587
- Phone Number
- 617-636-8858
- Fax Number
- 617-804-6767
License Information
- License Number
- 230907
- License State
- MA
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · 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 Boston Food Allergy Center LLC?
The NPI number of Boston Food Allergy Center LLC is 1386019503. It was assigned on December 14, 2015 and is currently active in the NPPES registry.
What is the specialty of Boston Food Allergy Center LLC?
Boston Food Allergy Center LLC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in MA under license number 230907.
Where does Boston Food Allergy Center LLC practice?
The practice location is 65 Harrison Ave Ste 201, Boston, MA 02111-1924. The office can be reached at 617-636-8858 (phone) or 617-636-8826 (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 1386019503 directly on the NPPES registry website.