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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 : 1972110005
Entity Type Code : Organization
Provider Name (Legal Business Name) : BJ'S WHOLESALE CLUB INC.
Provider Business Mailing Address
First Line : PO BOX 5230
Second Line :
City : WESTBOROUGH
State : MA
Zip : 01581-5230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3303 CROMPOND RD
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-3605
Country : US
Telephone Number : 914-734-9700
Fax Number :
Authorized Official
Title or Position : LEGAL ASSOCIATE
Name : GINA BISCEGLIA
Credential :
Telephone Number : 508-688-2358
Provider Enumeration Date : 09/23/2020
Last Update Date : 09/23/2020

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

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