Healthcare Provider Details

I. General information

NPI: 1528711934
Provider Name (Legal Business Name): IPSMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 STILES RD STE 202
SALEM NH
03079-4802
US

IV. Provider business mailing address

A2 COLONIAL DR UNIT 8
ANDOVER MA
01810-7308
US

V. Phone/Fax

Practice location:
  • Phone: 781-608-1131
  • Fax:
Mailing address:
  • Phone: 781-608-1131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAHUL J BILODARIYA
Title or Position: DIRECTOR
Credential:
Phone: 781-608-1131