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NPI Code Detail

MEDICARE: BJ'S WHOLESALE CLUB INC.

MEDICARE: BJ'S WHOLESALE CLUB INC.
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1598363327
Entity Type Code : Organization
Provider Name (Legal Business Name) : BJ'S WHOLESALE CLUB INC.
Provider Business Mailing Address
First Line : 25 RESEARCH DR
Second Line :
City : WESTBOROUGH
State : MA
Zip : 01581-3680
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7050 CORAL WAY
Second Line :
City : MIAMI
State : FL
Zip : 33155-1603
Country : US
Telephone Number : 305-262-0243
Fax Number :
Authorized Official
Title or Position : LEGAL ASSOCIATE
Name : GINA BISCEGLIA
Credential :
Telephone Number : 508-688-2358
Provider Enumeration Date : 10/14/2020
Last Update Date : 10/14/2020

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Directions to “BJ'S WHOLESALE CLUB INC. ” Practice Location

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