Srk Md, LLC

NPI #1578083119 in Waltham, Massachusetts

Provider Information

NPI Number: 1578083119
Entity Type: Organization
Organization Name: Srk Md, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: STEVEN R. KANNER, MD, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 25, 2017
Last Updated: Jun 25, 2017

Practice Location

Address: 210 BEAR HILL RD STE 304
City: Waltham
State: Massachusetts
ZIP Code: 02451-1025
Phone: (781) 684-0600

Authorized Official

Name: DR. STEVEN R. KANNER, MD
Title: OWNER
Phone: (781) 684-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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