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BOSTON MEDICAL GROUP, PC

Physicians Internal Medicine Pulmonary Disease

Provider NPI: 1538101191

Organization Information:
Organization Name:  BOSTON MEDICAL GROUP, PC
Authorized Official:  MARK J. BERENBERG  PRESIDENT  617-296-4000

Practice Location:
2100 DORCHESTER AVE  DORCHESTER CENTER, MA 02124-5615 US
Tel: 617-296-4000  Fax: 617-474-3856

Business Mailing Address:
2100 DORCHESTER AVE  DORCHESTER CENTER, MA 02124-5615 US
Tel: 617-296-4000  Fax: 617-474-3856

NPI Information:
NPI: 1538101191
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RP1001XPhysicians
Internal Medicine
Pulmonary Disease

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207RP1001X

Type:

Classification:



Definition:



MEDICAL JOBS MA - Page 1

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