Boston Food Allergy Center LLC
Boston Food Allergy Center LLC provides Gastroenterology Physician services in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.
- Licensed in
- MA
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
65 Harrison Ave Ste 201Boston, MA 02111-1924
Phone: (617) 636-8858
Fax: (617) 636-8826
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 230907 (MA) |
|---|
Record details
| NPI number | 1386019503 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shaun White — Credentialing Manager · (502) 244-9859 |
| NPI enumerated | December 14, 2015 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
| Mailing address | 1 Nassau Street Unit 1906, Boston, MA 02111-1587 |
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