| Bl Healthcare, Inc. | |
|
100 Foxborough Blvd Ste 230 Foxboro MA 02035-2878 | |
| (508) 543-4150 | |
| Not Available |
| Full Name | Bl Healthcare, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Foxborough Blvd Ste 230, Foxboro, Massachusetts |
| Authorized Official Name and Position | Michael Mathur (PRESIDENT & CEO) |
| Authorized Official Contact | 5085434150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bl Healthcare, Inc. 100 Foxborough Blvd Ste 230 Foxboro MA 02035-2878 Ph: (508) 543-4150 | Bl Healthcare, Inc. 100 Foxborough Blvd Ste 230 Foxboro MA 02035-2878 Ph: (508) 543-4150 |
| NPI Number | 1356940621 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 9537575386 |
|---|---|
| Medicare Enrollment ID | O20210617000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356940621 | NPI | - | NPPES |
| Provider Name | Uma Gullapalli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255482956 PECOS PAC ID: 1153737911 Enrollment ID: I20210303001127 |
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