National Provider Identifier Database

BAY COLONY NEUROSURGERY
Specialist

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.


Contact Information

BAY COLONY NEUROSURGERY
2100 DORCHESTER AVE
DORCHESTER, MA02124
Phone: 617-288-0234
Fax: 617-298-2851
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for BAY COLONY NEUROSURGERY

NPI Number 1164649158
Legal business name
LBN
BAY COLONY NEUROSURGERY
Authorized official BRADFORD SELLAND - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/19/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 9730711

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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