BACK BAY MD LLC

MALDEN, MA
NPI1972460244
Entity TypeOrganization
Authorized ContactLUIS HENKEL
Owner And Medical Director
857-200-8997
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2026-01-07
Last Update Date2026-01-07
Business Address
BACK BAY MD LLC
578 MAIN ST UNIT B5
MALDEN, MA 02148-4094
Phone number: 857-200-8997
Mailing Address
BACK BAY MD LLC
578 MAIN ST UNIT B5
MALDEN, MA 02148-4094
Phone number: 857-200-8997
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