MEDICARE: DR. BRIAN J. BATTISTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	49391	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	703685	OTHER	MA	TUFTS HEALTH PLAN
2	J01015	OTHER	MA	BLUE CROSS BLUE SHIELD
3	65192	OTHER	MA	HARVARD PILGRIM
4	0040503	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821075961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN J. BATTISTA MD

Provider Business Mailing Address
First Line	:	1221 MAIN ST
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1561
Country	:	US
Telephone Number	:	781-340-1702
Fax Number	:	781-340-0931

Provider Business Practice Location Address
First Line	:	1221 MAIN ST
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1561
Country	:	US
Telephone Number	:	781-340-1702
Fax Number	:	781-340-0931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	03/13/2014

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