OrganizationActive
Blue Circle Health Clinical Inc
NPI 1235939927 · Endocrinology, Diabetes & Metabolism Physician · Boston, MA
Provider details
- NPI number
- 1235939927
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Blue Circle Health Inc
- Organization subpart
- Yes
- Authorized official
- Lucesita Scammon, Program Manager(413) 213-2918
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
56 Broad St Ste 14281
Boston, MA 02109-4301
Phone: (888) 404-4813
Fax: (888) 675-4061
Approximate (ZIP-level) locationGet directions
Mailing address
56 Broad St Ste 14281
Boston, MA 02109-4301
Registry dates
- Enumerated
- 2025-03-13
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.