Healthcare Provider Details

I. General information

NPI: 1952371254
Provider Name (Legal Business Name): BOSTON ENT ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 HILLSIDE AVE STE H
NEEDHAM MA
02494-1232
US

IV. Provider business mailing address

560 HILLSIDE AVE STE H
NEEDHAM MA
02494-1232
US

V. Phone/Fax

Practice location:
  • Phone: 781-444-4722
  • Fax: 781-444-4721
Mailing address:
  • Phone: 781-444-4722
  • Fax: 781-444-4721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA KESSLER
Title or Position: PRINCIPAL
Credential: M.D.
Phone: 781-444-4722