Mystic Valley Medical Associates Inc. in Medford - Internal Medicine
Mystic Valley Medical Associates Inc. - NPI 1275579179
Mystic Valley Medical Associates Inc. is a Internal Medicine in Medford, Massachusetts. Mystic Valley Medical Associates Inc. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mystic Valley Medical Associates Inc. is 1275579179. The last update date is 2007-07-23.
Mystic Valley Medical Associates Inc.'s current location address is 101 Main St, Medford, Massachusetts. You can contact this provider via phone number 7813964514. The mailing address for Mystic Valley Medical Associates Inc. is 101 Main St, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mystic Valley Medical Associates Inc. |
|---|---|
| Address | 101 Main St, Medford, Massachusetts |
| Phone Number | 7813964514 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ko Ho Bing |
| Credentials | MD |
| Telephone Number | 7813964514 |
NPI Number Detail
| NPI Number | 1275579179 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 101 Main St |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 21554540 |
| Phone Number | 7813964514 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 59608 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Mystic Valley Medical Associates Inc.'s 1275579179?
The Mystic Valley Medical Associates Inc.'s NPI (National Provider Identifier) Number is 1275579179. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mystic Valley Medical Associates Inc.'s facilities are situated?
The facilities of Mystic Valley Medical Associates Inc. are physically located at the following address: 101 Main St, Medford, MA, 21554540.
What is Mystic Valley Medical Associates Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mystic Valley Medical Associates Inc.'s specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275579179 to Mystic Valley Medical Associates Inc.?
The Mystic Valley Medical Associates Inc. received its 1275579179 assignment from the Centers for Medicare & Medicaid Services on 2006-06-21.
When was the Mystic Valley Medical Associates Inc.'s information last updated?
The Mystic Valley Medical Associates Inc.'s information was last updated on 2007-07-23.