# BL HEALTHCARE INC DELEWARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BL Healthcare, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356940621
- **Authorized official:** MICHAEL MATHUR (PRESIDENT & CEO)
- **Authorized official phone:** (508) 543-4150

## Contact information

- **Practice address:** 100 FOXBOROUGH BLVD STE 230, FOXBORO, MA 02035-2878
- **Practice address phone:** (508) 543-4150
- **Mailing address:** 100 FOXBOROUGH BLVD STE 230, FOXBORO, MA 02035-2878
- **Mailing address phone:** (508) 543-4150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 05/03/2021