OrganizationActive
Boston Food Allergy Center LLC
NPI 1386019503 · Gastroenterology Physician · Boston, MA
Provider details
- NPI number
- 1386019503
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Shaun White, Credentialing Manager
- License
- 230907 (MA)
Practice location
65 Harrison Ave Ste 201
Boston, MA 02111-1924
Phone: (617) 636-8858
Fax: (617) 636-8826
Mailing address
1 Nassau Street Unit 1906
Boston, MA 02111-1587
Registry dates
- Enumerated
- 2015-12-14
- Last updated
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.