NPI Code Details Logo

NPI 1780581561

NPI 1780581561 : MASSBRIDGE INC : BOSTON, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780581561
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MASSBRIDGE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/23/2026
-----------------------------------------------------
    Last Update Date     |    11/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    50 MERIDIAN ST UNIT 456 
-----------------------------------------------------
    City                 |    BOSTON
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02128-7020
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    508-219-7189
-----------------------------------------------------
    Fax                  |    508-419-7066
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    50 MERIDIAN ST UNIT 456 
-----------------------------------------------------
    City                 |    BOSTON
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02128-7020
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    508-219-7189
-----------------------------------------------------
    Fax                  |    508-419-7066
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     STEPHEN  ZOMBIL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    508-219-7189
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.