SOUTHBORO MEDICAL GROUP, INC
NPI 1164834750
Specialist in Southborough, MA

Active since May 30, 2014
24 NEWTON ST, SOUTHBOROUGH, MA 01772(508) 481-5500(508) 460-3025 Get Directions Write a Review

NPPES record last updated: May 30, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southboro Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHBORO MEDICAL GROUP, INC (NPI 1164834750) is a healthcare organization registered as a specialist in Southborough, Massachusetts and active in the NPI registry since May 2014. The organization lists Heather Labossiere, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1164834750
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHBORO MEDICAL GROUP, INC
Location Address24 NEWTON STSouthborough, MA 01772-1215
Mailing Address24 Newton StSouthborough, MA 01772-1215 · (508) 481-5500 · Fax (508) 460-3025
Fax(508) 460-3025
Organization SubpartNo
Authorized OfficialHeather LabossiereCredentialing Specialist · (508) 460-3297
Enumeration DateMay 30, 2014
NPI 1164834750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

24 NEWTON ST, Southborough, MA 01772

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Obstetrics & Gynecology
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Obstetrics & Gynecology
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Pediatrics
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Pediatrics
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Nurse Practitioner
24 NEWTON ST
SOUTHBOROUGH, MA 01772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southboro Medical Group, Inc's NPI number?

The NPI number for Southboro Medical Group, Inc is 1164834750. It was assigned to this organization in the NPPES registry on May 30, 2014.

Where is Southboro Medical Group, Inc located?

Southboro Medical Group, Inc is located at 24 Newton St, Southborough, MA 01772. The listed phone number is (508) 481-5500.

What is Southboro Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southboro Medical Group, Inc was last updated on May 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.