NPI 1043757115

Neurosportelite North Boston, LLC

Organisation Health Service Clinic/Center Woburn, MA

Practice location

Address: 78 Olympia Ave, Woburn, MA 01801-2057
Phone: (608) 988-8088
Fax: (888) 456-2475

Authorised official

Name: Spencer Howard Baron
Title: President
Phone: (954) 800-5017

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence 3375 (MA)

Other Clinic/Center providers in Massachusetts →

Registry record

NPI: 1043757115
Entity type: Organization
NPI issued: 26 Jan 2017
Record last updated: 26 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.