Boston Body Evolution LLC

NPI #1033566328 in Chestnut Hill, Massachusetts

Provider Information

NPI Number: 1033566328
Entity Type: Organization
Organization Name: Boston Body Evolution LLC
Primary Specialty: Specialist
Enumeration Date: May 17, 2016
Last Updated: May 17, 2016

Practice Location

Address: 1290 BOYLSTON STREET
City: Chestnut Hill
State: Massachusetts
ZIP Code: 02467
Phone: (617) 396-7899

Authorized Official

Name: DR. MICHAEL NGUYEN, MD
Title: AUTHORIZED OFFICIAL
Phone: (617) 396-7899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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