Greater Boston Family Medicine PLLC
Family Medicine in Needham, MA. Organization (NPI-2).
NPI number1114711900
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1114711900
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Boston Family Medicine PLLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2025
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
35 Highland Cir Ste 306Needham, MA 02494-3099
Phone 781-973-0052
Mailing address
35 Highland Cir Ste 306Needham, MA 02494-3099
Authorized official
Luisa Mazaeva
Owner
7819730052
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