Provider Demographics
NPI:1003934506
Name:BACKWORKS
Entity Type:Organization
Organization Name:BACKWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ASSAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-451-2225
Mailing Address - Street 1:34 BATTERYMARCH ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-3202
Mailing Address - Country:US
Mailing Address - Phone:617-451-2225
Mailing Address - Fax:617-451-1980
Practice Address - Street 1:34 BATTERYMARCH ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-3202
Practice Address - Country:US
Practice Address - Phone:617-451-2225
Practice Address - Fax:617-451-1980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39138261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation