Provider Demographics
NPI:1518573914
Name:BJ'S WHOLESALE CLUB INC.
Entity Type:Organization
Organization Name:BJ'S WHOLESALE CLUB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BISCEGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-688-2358
Mailing Address - Street 1:PO BOX 5230
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-5230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:513-515 WARREN AVENUE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1005
Practice Address - Country:US
Practice Address - Phone:207-797-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier