Healthcare Provider Details
I. General information
NPI: 1881505048
Provider Name (Legal Business Name): BOSTON ENDOMETRIOSIS CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60 MALL RD STE 101
BURLINGTON MA
01803-4545
US
IV. Provider business mailing address
60 MALL RD STE 101
BURLINGTON MA
01803-4545
US
V. Phone/Fax
- Phone: 617-716-7000
- Fax: 617-767-7000
- Phone: 617-716-7000
- Fax: 617-767-7000
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LUKE
CHATBURN
Title or Position: OWNER
Credential: M.D., PH.D.
Phone: 617-716-7000