Provider Demographics
NPI:1407196603
Name:HEALTHBOSTON LLC
Entity Type:Organization
Organization Name:HEALTHBOSTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-278-9711
Mailing Address - Street 1:125 PARKER HILL AVE
Mailing Address - Street 2:FOGG BUILDING, SUITE 410
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120-2847
Mailing Address - Country:US
Mailing Address - Phone:781-278-9711
Mailing Address - Fax:
Practice Address - Street 1:75 PROVIDENCE HIGHWAY
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-278-9711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies