# PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BAE Systems Lexington MA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417548850
- **Authorized official:** DR. JON LEIZMAN MD (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 2 FORBES RD, LEXINGTON, MA 02421-7306
- **Practice address phone:** (781) 863-3206
- **Practice address fax:** (781) 863-4047
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 08/24/2022