Healthcare Provider Details

I. General information

NPI: 1104731470
Provider Name (Legal Business Name): BLUEPRINT HEALTHCARE MEDICAL GROUP PAIN MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 SUMMER ST
FITCHBURG MA
01420-5761
US

IV. Provider business mailing address

93 MILL ST
MIDDLETON MA
01949-1008
US

V. Phone/Fax

Practice location:
  • Phone: 267-779-5939
  • Fax:
Mailing address:
  • Phone: 267-779-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AKINDELE MAJEKODUNMI
Title or Position: CEO
Credential: MD
Phone: 267-779-5939