NSA HENSHAW MD
NPI 1427018605
Internal Medicine in Dorchester, MA
NPI Status: Active since March 23, 2006
Contact Information
1353 DORCHESTER AVE
DORCHESTER, MA
ZIP 02122
Phone: (617) 740-2277
- Individual
- Female
- Years of Experience 39
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NSA HENSHAW
This page provides the complete NPI Profile along with additional information for Nsa Henshaw, an internist established in Dorchester, Massachusetts with a medical specialization in Internal Medicine and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1427018605 assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number 155616 (MA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1427018605
- Provider Name
- NSA HENSHAW MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1353 DORCHESTER AVE DORCHESTER, MA 02122
- Location Phone
- (617) 740-2277
- Mailing Address
- 1353 DORCHESTER AVE DORCHESTER, MA 02122
- Medical School Name
- OTHER
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2006
- Last Update Date
- 08-22-2014
- Code Navigator
An internist like Nsa Henshaw is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 155616
- License State
- MA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G75420 | MEDICARE UPIN (02) | MA | |
| 04987962 | OTHER (01) | MA | ECFMG |
| A28645 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| 3184277 | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
Nsa Henshaw is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nsa Henshaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9234178419
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050427000669
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Automated urinalysis test
Bacterial colony count, urine
Bacterial culture for aerobic isolates
Blood test, basic group of blood chemicals (calcium, total)
Blood test, comprehensive group of blood chemicals
Coagulation function measurement, d-dimer; quantitative
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Infusion, normal saline solution, 250 cc
Injection, zoledronic acid, 1 mg
Insertion of needle into vein for collection of blood sample
Lipase (fat enzyme) level
Urinalysis, manual test
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 44 times for 44 patientsA bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
This service was performed 52 times for 49 patientsA bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.
This service was performed 26 times for 24 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 42 times for 41 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 55 times for 53 patientsA quantitative D-dimer test measures the amount of D-dimer, a protein fragment, in your blood. This test helps detect abnormal blood clotting. D-dimer levels can rise in conditions where clots are forming and breaking down, such as deep vein thrombosis or pulmonary embolism.
This service was performed 20 times for 20 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 102 times for 97 patientsThis test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
This service was performed 75 times for 75 patientsA detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
This service was performed 19 times for 19 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 30 times for 25 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 122 times for 121 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 290 times for 284 patientsThis process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.
This service was performed 20 times for 19 patientsThis is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.
This service was performed 39 times for 39 patientsThis is a test for COVID-19. It uses high-tech methods to find the virus's genetic material in your body. The amplified probe technique helps detect the virus even in small amounts. This is crucial for early detection and effective treatment.
This service was performed 39 times for 39 patientsThis is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
This service was performed 15 times for 15 patientsAn infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
This service was performed 19 times for 18 patientsZoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
This service was performed 75 times for 15 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 114 times for 105 patientsA Lipase Level test measures the amount of lipase in your blood. Lipase is an enzyme that helps your body digest fats. High or low levels can indicate problems with your pancreas, such as pancreatitis or other conditions. This test helps your doctor diagnose and monitor these conditions.
This service was performed 19 times for 18 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 37 times for 36 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02122 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nsa Henshaw is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BOSTON MEDICAL CENTER | 1 BOSTON MEDICAL CENTER PLACE BOSTON, MA 02118 | (617) 638-8000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 1 | 8 | 6 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 1 | 16 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 1 + 1 + 6 + 6 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1427018605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437118783 | AISLING BASTIBLE MD Individual | Specialist | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1255391355 | HUY NGUYEN MD Individual | Pediatrics | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1477513422 | CRAIG USHKURNIS PA-C Individual | Physician Assistant | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1982643888 | JEANNETTE F MCINNES LICSW Individual | Social Worker (Clinical) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1588608160 | JUDITH R DAY Individual | Social Worker (Clinical) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1700820206 | TUONG VAN NGUYEN Individual | Psychiatry & Neurology (Psychiatry) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1134290943 | LINDA IERARDI Individual | Physical Therapist | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 740-2415 |
| 1104988179 | MS. DIEM CHAU LAM NGUYEN MSW Individual | Social Worker | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1184787194 | PENNY A. SULLIVAN MSW Individual | Counselor (Mental Health) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1093867566 | ISAAC PUGH MSW Individual | Social Worker (Clinical) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1669674438 | SHERYL HILLIARD LICSW Individual | Social Worker (Clinical) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1205034642 | BRITTANY LEWIS RD Individual | Dietitian, Registered | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1538351499 | DR. VUONG DINH NGUYEN M.D. Individual | Internal Medicine | 1353 DORCHESTER AVE ATTN: VICTORIA WATSON DORCHESTER, MA 02122 (617) 288-3230 |
| 1003098484 | MR. BRADLEY OLIVER LEVY LICSW Individual | Social Worker (Clinical) | 1353 DORCHESTER AVE BOSTON, MA 02122 (617) 288-3230 |
| 1740465319 | DORCHESTER HOUSE MULTI SERVICE CENTER Organization | Optometrist | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1124287230 | DR. CHARBEL ZALLOUM DDS Individual | Dentist (Periodontics) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1164653747 | BENJAMIN SIMAITIS PT Individual | Physical Medicine & Rehabilitation | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 740-2415 |
| 1114211943 | SARAH MCEVOY RD Individual | Dietitian, Registered | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1396014460 | MS. MARY ROBERTA BLISS FNP Individual | Nurse Practitioner (Family) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
| 1891053963 | DORCHESTER HOUSE MULTI-SERVICE CENTER Organization | Clinic/Center (Primary Care) | 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617) 288-3230 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427018605, enumerated in the NPI registry as an "individual" on March 23, 2006
The provider is located at 1353 Dorchester Ave Dorchester, Ma 02122 and the phone number is (617) 740-2277
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 39 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Automated urinalysis test, Bacterial colony count, urine, Bacterial culture for aerobic isolates, Blood test, basic group of blood chemicals (calcium, total), Blood test, comprehensive group of blood chemicals, Coagulation function measurement, d-dimer; quantitative, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, Detection test by immunoassay with direct visual observation for streptococcus, group a (strep), Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r, Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less, Infusion, normal saline solution, 250 cc, Injection, zoledronic acid, 1 mg, Insertion of needle into vein for collection of blood sample, Lipase (fat enzyme) level and Urinalysis, manual test.
The practitioner is affiliated to the following hospital(s): BOSTON MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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