FBBB, INC. (NPI# 1134375967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134375967 |
| Entity Type | Organization |
| Organization Name | FBBB, INC. |
| Practice Address |
49 Mystic Ave Medford MA 02155-4613 |
| Practice Telephone | 7813930055 |
| Practice Fax Number | 7813930057 |
| Mailing Telephone | 7813930055 |
| Mailing Fax Number | 7813930057 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | DR. THOMAS ANTHONY CORDIMA (OWNER) |
| Authorized Official Telephone | 7813930055 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
143 | MA | Ambulatory Health Care Facilities |
| Street Address |
49 MYSTIC AVE |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1194214742 | Norwood Dental Sleep Medicine LLC | Clinic/Center | 100 Day St, Norwood, MA 02062-2125 | 2018-05-08 |
| 1356843890 | Family Eyecare Solutions LLC | Clinic/Center | 51 Mill St Bldg E, Hanover, MA 02339-1641 | 2018-03-01 |
| 1326587288 | Nicole Marie Kantor | Clinic/Center | 182 Church St Apt 3, Newton, MA 02458-1962 | 2017-02-13 |
| 1043757115 | Neurosportelite North Boston, LLC | Clinic/Center | 78 Olympia Ave, Woburn, MA 01801-2057 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.