MEDICARE: BOSTON VEIN CARE PC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1750623047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOSTON VEIN CARE PC

Provider Business Mailing Address
First Line	:	4 COURTHOUSE LN UNIT 15
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-1732
Country	:	US
Telephone Number	:	978-666-4200
Fax Number	:	888-561-3002

Provider Business Practice Location Address
First Line	:	4 COURTHOUSE LN UNIT 15
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-1732
Country	:	US
Telephone Number	:	978-666-4200
Fax Number	:	888-561-3002

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MUZZAMAL HABIB
Credential	:	M.D.
Telephone Number	:	978-666-4200

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	02/25/2020

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Directions to “BOSTON VEIN CARE PC ” Practice Location

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