Bay Colony Neurosurgery in Dorchester - Specialist
Bay Colony Neurosurgery - NPI 1164649158
Bay Colony Neurosurgery is a Specialist in Dorchester, Massachusetts. Bay Colony Neurosurgery practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bay Colony Neurosurgery is 1164649158. The last update date is 2020-08-22.
Bay Colony Neurosurgery's current location address is 2100 Dorchester Ave, Dorchester, Massachusetts. You can contact this provider via phone number 6172880234 and fax number 6172982851. The mailing address for Bay Colony Neurosurgery is 2100 Dorchester Ave, Dorchester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bay Colony Neurosurgery |
|---|---|
| Address | 2100 Dorchester Ave, Dorchester, Massachusetts |
| Phone Number | 6172880234 |
| Fax Number | 6172982851 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Selland A Bradford |
| Credentials | M.D. |
| Telephone Number | 6172880234 |
NPI Number Detail
| NPI Number | 1164649158 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2100 Dorchester Ave |
|---|---|
| City | Dorchester |
| State | Massachusetts (MA) |
| Post Code | 2124 |
| Phone Number | 6172880234 |
| Fax Number | 6172982851 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9730711 | MA | -- |
Post Comment/ Review Below
What is the Bay Colony Neurosurgery's 1164649158?
The Bay Colony Neurosurgery's NPI (National Provider Identifier) Number is 1164649158. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bay Colony Neurosurgery's facilities are geographically located?
The facilities of Bay Colony Neurosurgery are physically situated at the following location: 2100 Dorchester Ave, Dorchester, MA, 2124.
What is Bay Colony Neurosurgery's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bay Colony Neurosurgery is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did the Bay Colony Neurosurgery receive its 1164649158?
The Bay Colony Neurosurgery was issued its 1164649158 on 2007-04-19, which is the date when the organization was assigned this unique identifier.
When was the Bay Colony Neurosurgery's information last updated?
The Bay Colony Neurosurgery's information was last updated on 2020-08-22.
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