Active NPIOrganization

Bdl Mass LLC

Dermatology in Concord, Massachusetts

NPI Number1649934027
Practice location
54 Baker Avenue Ext, Concord, MA 01742-2137
Fax
—
Last updated
October 22, 2021

Bdl Mass LLC is a healthcare organization based in Concord, MA. Bdl Mass LLC practices in Concord, MA. The NPI Number for Bdl Mass LLC is 1649934027. The current practice location address for Bdl Mass LLC is 54 Baker Avenue Ext, Concord, MA 01742-2137 and can be reached out via phone at 978-371-7010.

Provider Profile Details

NPI Number
1649934027
Provider Name
Bdl Mass LLC
Provider Entity Type
Organization
Address
54 Baker Avenue Ext, Concord, MA 01742-2137
Phone Number
978-371-7010
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
Yes
Parent Organization
Boston Dermatology And Laser Center, LLC
Authorized Official
Samuel Goos · Owner · 978-371-7010
Provider Enumeration Date
October 22, 2021
Last Update Date
October 22, 2021
Certification Date
October 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Baker Avenue Ext
Concord, MA 01742-2137
Zip
01742-2137
Phone Number
978-371-7010
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
526 Main St Ste 302
Acton, MA 01720-3301
City
Acton
State
MA
Zip
01720-3301
Phone Number
978-371-7010

License Information

Taxonomy
Dermatology · 207N00000X · 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 Bdl Mass LLC?

The NPI number of Bdl Mass LLC is 1649934027. It was assigned on October 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Bdl Mass LLC?

Bdl Mass LLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Bdl Mass LLC practice?

The practice location is 54 Baker Avenue Ext, Concord, MA 01742-2137. The office can be reached at 978-371-7010 (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 1649934027 directly on the NPPES registry website.

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