Innovative Medicine, PC
NPI #1154653921 in Roxbury Crossing, Massachusetts
Provider Information
- NPI Number
- 1154653921
- Entity Type
- Organization
- Organization Name
- Innovative Medicine, PC
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Feb 4, 2010
- Last Updated
- Feb 4, 2010
Practice Location
- Address
- 70 PARKER HILL AVE
- Address 2
- SUITE 3406
- City
- Roxbury Crossing
- State
- Massachusetts
- ZIP Code
- 02120-3224
- Phone
- (617) 232-2003
Authorized Official
- Name
- MR. GERALD C BOUSQUET, MD
- Title
- PRESIDENT
- Phone
- (617) 232-2003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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