is a Specialist in Milton, Massachusetts. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1104083138. The last update date is .
's current location address is 100 Highland St, Milton, Massachusetts. You can contact this provider via phone number 6176864966 and fax number 6176967012. The mailing address for is 100 Highland St, Milton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 100 Highland St, Milton, Massachusetts |
Phone Number | 6176864966 |
Fax Number | 6176967012 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1104083138 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 100 Highland St |
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City | Milton |
State | Massachusetts (MA) |
Post Code | 21863881 |
Phone Number | 6176864966 |
Fax Number | 6176967012 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 59904 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3038068 | MA | -- |
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