| Boulevard Medical Group Inc. | |
|
338 Plantation St Worcester MA 01604-1637 | |
| (508) 762-4480 | |
| (508) 752-1404 |
| Full Name | Boulevard Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 338 Plantation St, Worcester, Massachusetts |
| Authorized Official Name and Position | Harshad Chitre (PRESIDENT) |
| Authorized Official Contact | 5087624480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Medical Group Inc. 80 Adams St Boylston MA 01505-1441 Ph: (508) 762-4480 | Boulevard Medical Group Inc. 338 Plantation St Worcester MA 01604-1637 Ph: (508) 762-4480 |
| NPI Number | 1487700522 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487700522 | NPI | - | NPPES |
| 9764500 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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