Edyta M Konrad Md, PHD

NPI #1417401993 in Marlborough, Massachusetts

Provider Information

NPI Number: 1417401993
Entity Type: Organization
Organization Name: Edyta M Konrad Md, PHD
Primary Specialty: Internal Medicine
Enumeration Date: Aug 12, 2016
Last Updated: Aug 12, 2016

Practice Location

Address: 320 BOLTON ST
Address 2: OFIICE # 100
City: Marlborough
State: Massachusetts
ZIP Code: 01752-3988
Phone: (508) 460-6002

Authorized Official

Name: DR. EDYTA MARIA KONRAD, MD, PHD
Title: OWNER
Phone: (508) 460-6002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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