Provider Demographics
NPI:1750623047
Name:BOSTON VEIN CARE PC
Entity type:Organization
Organization Name:BOSTON VEIN CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUZZAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HABIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-666-4200
Mailing Address - Street 1:4 COURTHOUSE LN UNIT 15
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1732
Mailing Address - Country:US
Mailing Address - Phone:978-666-4200
Mailing Address - Fax:888-561-3002
Practice Address - Street 1:4 COURTHOUSE LN UNIT 15
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1732
Practice Address - Country:US
Practice Address - Phone:978-666-4200
Practice Address - Fax:888-561-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty