# BOSTON SENIOR MEDICINE

> 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:** Boston Senior Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740839208
- **Authorized official:** INDIA MICHEL NP (PROVIDER)
- **Authorized official phone:** (508) 232-6963

## Contact information

- **Practice address:** 345 NEPONSET ST, CANTON, MA 02021-1940
- **Practice address phone:** (508) 232-6963
- **Practice address fax:** (508) 297-8258
- **Mailing address:** 345 NEPONSET ST STE 3, CANTON, MA 02021-1988
- **Mailing address phone:** (508) 232-6963
- **Mailing address fax:** (508) 297-8258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/08/2019
- **Last updated:** 11/20/2019