Massachusetts Institute of Technology
NPI #1588133946 in Cambridge, Massachusetts
Provider Information
- NPI Number
- 1588133946
- Entity Type
- Organization
- Organization Name
- Massachusetts Institute of Technology
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 15, 2018
- Last Updated
- Nov 17, 2023
Practice Location
- Address
- 25 CARLETON ST
- City
- Cambridge
- State
- Massachusetts
- ZIP Code
- 02142-1323
- Phone
- (617) 253-1501
Authorized Official
- Name
- BRIAN SCHUETZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (617) 258-6609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - General Practice — General Practice |
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