Provider Demographics
NPI:1407333511
Name:BOSTON HERNIA & PILONIDAL CENTER PLLC
Entity type:Organization
Organization Name:BOSTON HERNIA & PILONIDAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REINHORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-466-3373
Mailing Address - Street 1:90 LONGFELLOW RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1216
Mailing Address - Country:US
Mailing Address - Phone:978-460-1374
Mailing Address - Fax:857-259-4807
Practice Address - Street 1:20 WALNUT ST STE 100
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2104
Practice Address - Country:US
Practice Address - Phone:617-466-3373
Practice Address - Fax:857-259-4807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-21
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty