Mystic Valley Medical Associates Inc.

NPI #1275579179 in Medford, Massachusetts

Provider Information

NPI Number: 1275579179
Entity Type: Organization
Organization Name: Mystic Valley Medical Associates Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jun 21, 2006
Last Updated: Jul 23, 2007

Practice Location

Address: 101 MAIN ST
Address 2: SUITE 110
City: Medford
State: Massachusetts
ZIP Code: 02155-4540
Phone: (781) 396-4514

Authorized Official

Name: DR. BING HO KO, MD
Title: PRESIDENT
Phone: (781) 396-4514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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