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Contact Information

PHILIP FORMICA, MD
41 MALL ROAD
LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA01805-0001
 Phone: 781-744-8460
 Fax: 781-744-5261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for PHILIP FORMICA · (Male)

NPI # 1184883209
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2008
Last updated 04/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 256905
  • MA Medicaid 110097738A
Hospital affiliation(s)
  • BETH ISRAEL DEACONESS MEDICAL CENTER - (Acute Care)
    330 BROOKLINE AVENUE
    BOSTON, MA 02215
  • BEVERLY HOSPITAL CORPORATION - (Acute Care)
    85 HERRICK STREET
    BEVERLY, MA 01915
  • LAHEY CLINIC HOSPITAL - (Acute Care)
    41 & 45 MALL ROAD
    BURLINGTON, MA 01803
  • WINCHESTER HOSPITAL - (Acute Care)
    41 HIGHLAND AVENUE
    WINCHESTER, MA 01890
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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