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Organization

BL HEALTHCARE INC DELEWARE

Active
Other names
BL Healthcare, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MATHUR (PRESIDENT & CEO)
(508) 543-4150
Entity
Organization

Contact information

Practice address
100 FOXBOROUGH BLVD STE 230, FOXBORO, MA 02035-2878
(508) 543-4150
Mailing address
100 FOXBOROUGH BLVD STE 230, FOXBORO, MA 02035-2878
(508) 543-4150

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
208D00000X
General Practice Physician

Other

Enumeration date
10/19/2020
Last updated
05/03/2021
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