Mo Keovongsa is a Medical in Burlington, Massachusetts. Mo Keovongsa practices all healthcare services and medical treatments related to Medical. The NPI Number for Mo Keovongsa is 1710157300. The last update date is 2014-10-21.
Mo Keovongsa's current location address is 41 Mall Rd, Burlington, Massachusetts. You can contact this provider via phone number 7817447000 and fax number 7817445352. The mailing address for Mo Keovongsa is 41 Mall Rd, Burlington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mo Keovongsa |
|---|---|
| Address | 41 Mall Rd, Burlington, Massachusetts |
| Phone Number | 7817447000 |
| Fax Number | 7817445352 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1710157300 |
|---|---|
| Provider Enumeration Date | 2008-03-10 |
| Last Updated Date | 2014-10-21 |
Provider Mailing Address Detail
| Address | 41 Mall Rd |
|---|---|
| City | Burlington |
| State | Massachusetts (MA) |
| Post Code | 18050001 |
| Phone Number | 7817447000 |
| Fax Number | 7817445352 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | AP2311 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Mo Keovongsa by the Centers for Medicare & Medicaid Services?
The Mo Keovongsa has been assigned the NPI (National Provider Identifier) 1710157300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Mo Keovongsa is physically located?
The Mo Keovongsa is situated at the following address: 41 Mall Rd, Burlington, MA 18050001.
What is the Mo Keovongsa's specialty and taxonomy code?
The Mo Keovongsa's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Mo Keovongsa receive its 1710157300 assignment from the Centers for Medicare & Medicaid Services?
The Mo Keovongsa was assigned its 1710157300 by the Centers for Medicare & Medicaid Services on 2008-03-10.
When was the information regarding Mo Keovongsa most recently updated?
The details pertaining to the Mo Keovongsa, including its address, specialty, and other relevant information, were last refreshed on 2014-10-21.