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Behavioral Health & Social Service Providers Psychoanalyst

Provider NPI: 1396195749

Organization Information:
Organization Name:  ANTON O. KRIS, MD, PC
Organization is not Subpart
Authorized Official:  ANTON O. KRIS  PRESIDENT  617-876-0357

Practice Location:
Tel: 617-876-0357  Fax: --

Business Mailing Address:
Tel: 617-876-0357  Fax: --

NPI Information:
NPI: 1396195749
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y102L00000XBehavioral Health & Social Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 102L00000X





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