Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Back Bay MD LLC

Organization Clinic/Center · NPI 1972460244

Back Bay MD LLC is a Clinic/Center in Malden, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

578 Main St Unit B5
Malden, MA 02148-4094
Phone: (857) 200-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1972460244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Henkel — Owner And Medical Director · (857) 200-8997
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address578 Main St Unit B5, Malden, MA 02148-4094

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