Provider Demographics
NPI:1467927483
Name:BLUEPRINT HEALTHCARE LLC
Entity Type:Organization
Organization Name:BLUEPRINT HEALTHCARE LLC
Other - Org Name:BLUEPRINT HEALTHCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKINDELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEKODUMNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-779-5939
Mailing Address - Street 1:451 ANDOVER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5079
Mailing Address - Country:US
Mailing Address - Phone:781-480-1976
Mailing Address - Fax:781-480-1981
Practice Address - Street 1:451 ANDOVER ST STE 205
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5079
Practice Address - Country:US
Practice Address - Phone:978-983-2435
Practice Address - Fax:781-480-1981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-05
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty