Organization
BOSTON'S COMMUNITY MEDICAL GROUP, INC.
Active
Other names
CCA Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
BILJANA SIMIKIC DO (ACTING MEDICAL DIRECTOR)
(617) 433-9601
Entity
Organization
Contact information
Practice address
30 NORTHAMPTON STREET, BOSTON, MA 02118
(617) 433-9601
(617) 445-6413
Mailing address
30 NORTHAMPTON STREET, BOSTON, MA 02118
(617) 433-9601
(617) 445-6538
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110071110A
—
MA
Enumeration date
06/19/2006
Last updated
02/20/2026
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