National Provider Identifier Database

BOSTONS COMMUNITY MEDICAL GROUP INC
Primary Care


Contact Information

BOSTON'S COMMUNITY MEDICAL GROUP, INC.
30 NORTHAMPTON STREET
BOSTON, MA02118
Phone: 617-433-9601
Fax: 617-445-6413
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for BOSTON'S COMMUNITY MEDICAL GROUP, INC.

NPI Number 1235174418
Legal business name
LBN
BOSTON'S COMMUNITY MEDICAL GROUP, INC.
Authorized official BILJANA SIMIKIC - (ACTING MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/19/2006
Last updated 02/20/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 110071110A

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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