# BLUE CIRCLE HEALTH OF MASSACHUSETTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699634683
- **Authorized official:** LUCESITA SCAMMON (PROGRAM MANAGER)
- **Authorized official phone:** (413) 213-2918

## Contact information

- **Practice address:** 56 BROAD ST STE 14281, BOSTON, MA 02109-4301
- **Practice address phone:** (888) 404-4813
- **Practice address fax:** (888) 675-4061
- **Mailing address:** 56 BROAD ST STE 14281, BOSTON, MA 02109-4301
- **Mailing address phone:** (888) 404-4813
- **Mailing address fax:** (888) 675-4061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2026
- **Last updated:** 01/16/2026