BOSTON FOOD ALLERGY CENTER LLC


Address: 65 Harrison Ave Ste 201, Boston, MA 02111-1924
Phone: 6176368858

BOSTON FOOD ALLERGY CENTER LLC (NPI# 1386019503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386019503
Entity Type Organization
Organization Name BOSTON FOOD ALLERGY CENTER LLC
Practice Address 65 Harrison Ave Ste 201
Boston
MA 02111-1924
Mailing Address 65 Harrison Ave
Suite 201
Boston
MA 02111-1924
Practice Telephone 6176368858
Practice Fax Number 6176368826
Mailing Telephone 6176368858
Mailing Fax Number 6176368826
Enumeration Date 2015-12-14
Last Update Date 2016-02-12
Authorized Official Name SHAUN WHITE (CREDENTIALING MANAGER)
Authorized Official Telephone 5022449859
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
230907 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110085164A 05
MA STATE LICENSE 230907 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467007609 Boston Food Allergy Center LLC Internal Medicine 65 Harrison Ave Ste 201, Boston, MA 02111-1924 2019-08-05

Office Location

Street Address 65 HARRISON AVE STE 201
City BOSTON
State MA
Zip Code 02111-1924

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710523147 Boston Food Allergy Center LLC Bi Network Allergy & Immunology 65 Harrison Ave Ste 201, Boston, MA 02111-1924 2019-11-20
1558906198 Boston Food Allergy Center Allergy & Immunology 65 Harrison Ave Ste 201, Boston, MA 02111-1924 2019-11-07
1467007609 Boston Food Allergy Center LLC Internal Medicine 65 Harrison Ave Ste 201, Boston, MA 02111-1924 2019-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
Find all providers in zip 02111

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194366849 Halpert Medical LLC Internal Medicine 27 Pier 7, Boston, MA 02129-4226 2019-10-03
1861913881 Aymeric Becq Internal Medicine 330 Brookline Avenue, Dana 603, Boston, MA 02215 2017-06-29
1477996650 William Thomas Clarke Internal Medicine 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 2013-04-08
1487908141 Jose Manuel Mella Internal Medicine 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 2012-11-02
1003169327 Rong J Guan, Md LLC Internal Medicine 30 Kneeland St Fl 5, Boston, MA 02111-1528 2012-10-24
1043479587 Vilas R Patwardhan Internal Medicine 110 Francis St, Suite 8e, Beth Israel Deaconess Medical Center, Boston, MA 02215 2008-06-09
1639378789 Alan Colm Moss Internal Medicine 725 Albany St Ste 6b, Boston, MA 02118-3549 2007-07-17
1508080060 Daisy De-peralta-daly Internal Medicine 389 Commonwealth Ave, Boston, MA 02115-1802 2007-04-13
1043306558 Harry T Anastopoulos Internal Medicine 110 Francis St Suite 8e, Boston, MA 02215 2006-10-04
1851406813 Ciaran P Kelly Internal Medicine Bi/deaconess Medical Ctr, 330 Brookline Avenue, Boston, MA 02215 2006-08-20
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02111

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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