Healthcare Provider Details

I. General information

NPI: 1558551325
Provider Name (Legal Business Name): PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 COMMONWEALTH AVE
BOSTON MA
02215-1001
US

IV. Provider business mailing address

1055 COMMONWEALTH AVE
BOSTON MA
02215-1001
US

V. Phone/Fax

Practice location:
  • Phone: 617-616-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASON LEVY
Title or Position: CFO
Credential:
Phone: 617-616-1684