Organization · Type 2 NPI
Back Bay MD LLC
Clinic/Center · Malden, MA
NPI number
1972460244
Active
Practice location
578 Main St Unit B5
Malden, MA 02148-4094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Malden
About NPI 1972460244
Back Bay MD LLC's National Provider Identifier is 1972460244, issued on Jan 7, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Malden, MA. The record was last updated on Jan 7, 2026.