Organization
BELMONT MEDICAL ASSOCIATES, INC.
Active
Parent organization
BELMONT MEDICAL ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELMONT MEDICAL ASSOCIATES, INC.
Authorized official
JANET CONNORS (BILLING SUPERVISOR)
(617) 864-4108
Entity
Organization
Contact information
Practice address
725 CONCORD AVE, SUITE 4100, CAMBRIDGE, MA 02138-1040
(617) 864-4108
(617) 547-5367
Mailing address
725 CONCORD AVE, SUITE 4100, CAMBRIDGE, MA 02138-1040
(617) 864-4108
(617) 547-5367
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
47577
MA
207VG0400X
Gynecology Physician
Primary
56978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M12887
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
04/16/2009
Last updated
04/16/2009
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