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NPI Code Detail

MEDICARE: NEW ENGLAND INPATIENT SPECIALIST LLC

MEDICARE: NEW ENGLAND INPATIENT SPECIALIST LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician219219MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M19149OTHERMABLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3625686OTHERMATUFTS
40037508OTHERMANEIGHBORHOOD HEALTH

General Provider Information

NPI Number : 1487606570
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ENGLAND INPATIENT SPECIALIST LLC
Provider Business Mailing Address
First Line : 290 LITTLETON RD UNIT 3
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-3429
Country : US
Telephone Number : 978-258-4734
Fax Number :
Provider Business Practice Location Address
First Line : 290 LITTLETON RD UNIT 3
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-3429
Country : US
Telephone Number : 978-258-4734
Fax Number :
Authorized Official
Title or Position : MD
Name : MOHAMMED JALEEL
Credential : MD
Telephone Number : 978-258-4734
Provider Enumeration Date : 05/17/2006
Last Update Date : 05/28/2025

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Directions to “NEW ENGLAND INPATIENT SPECIALIST LLC ” Practice Location

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