Organization · Type 2 NPI

Premise Health of Massachusetts, Medical PC

Occupational Medicine Clinic/Center · Lexington, MA

NPI number 1417548850 Active

Practice location

2 Forbes Rd
Lexington, MA 02421-7306

Call (781) 863-3206 Map

Fax (781) 863-4047

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	None listed

Occupational Medicine Clinic/Center: Definition to come...

NPI record

NPI: 1417548850
Entity type: Organization (Type 2)
Issued: Jan 28, 2021
Last updated: Aug 24, 2022
Status: Active

Other names

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Bae Systems Lexington Ma · doing business as
Bae Systems Lexington Ma · doing business as

Authorized official

Dr. Jon Leizman, MD
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417548850

Premise Health of Massachusetts, Medical PC's National Provider Identifier is 1417548850, issued on Jan 28, 2021. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Lexington, MA. The record was last updated on Aug 24, 2022.