Active NPIOrganization

Classic Healthcare Medical Group LLC

Internal Medicine in Needham, Massachusetts

NPI Number1649691957
Practice location
300 Chestnut St, Ste 1400, Needham, MA 02492-2497
Fax
781-559-0231
Last updated
January 5, 2014

Classic Healthcare Medical Group LLC is a healthcare organization based in Needham, MA. Classic Healthcare Medical Group LLC practices in Needham, MA. The NPI Number for Classic Healthcare Medical Group LLC is 1649691957 and holds a License No. 205080 (MA). The current practice location address for Classic Healthcare Medical Group LLC is 300 Chestnut St, Ste 1400, Needham, MA 02492-2497 and can be reached out via phone at 781-559-0230 and via fax at 781-559-0231.

Provider Profile Details

NPI Number
1649691957
Provider Name
Classic Healthcare Medical Group LLC
Provider Entity Type
Organization
Address
300 Chestnut St, Ste 1400, Needham, MA 02492-2497
Phone Number
781-559-0230
Fax Number
781-559-0231
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Steven Van Dam, MD · Medical Director · 781-559-0230
Provider Enumeration Date
January 5, 2014
Last Update Date
January 5, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Chestnut St
Ste 1400
Needham, MA 02492-2497
Zip
02492-2497
Phone Number
781-559-0230
Fax Number
781-559-0231
Needham, MA 02492Get directions →

Provider Business Mailing Address Details

Address
300 Chestnut St
Ste 1400
Needham, MA 02492-2497
City
Needham
State
MA
Zip
02492-2497
Phone Number
781-559-0230
Fax Number
781-559-0231

License Information

License Number
205080
License State
MA
Taxonomy
Internal Medicine · 207R00000X · 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 Classic Healthcare Medical Group LLC?

The NPI number of Classic Healthcare Medical Group LLC is 1649691957. It was assigned on January 5, 2014 and is currently active in the NPPES registry.

What is the specialty of Classic Healthcare Medical Group LLC?

Classic Healthcare Medical Group LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 205080.

Where does Classic Healthcare Medical Group LLC practice?

The practice location is 300 Chestnut St, Ste 1400, Needham, MA 02492-2497. The office can be reached at 781-559-0230 (phone) or 781-559-0231 (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 1649691957 directly on the NPPES registry website.

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