Boston Medical Group- Washington, P.c.

NPI #1598182818 in Bellevue, Washington

Provider Information

NPI Number: 1598182818
Entity Type: Organization
Organization Name: Boston Medical Group- Washington, P.c.
Primary Specialty: Urology
Enumeration Date: Mar 25, 2014
Last Updated: Mar 25, 2014

Practice Location

Address: 12301 N.E. 10TH PLACE
Address 2: SUITE 101
City: Bellevue
State: Washington
ZIP Code: 98005
Phone: (425) 429-3382

Authorized Official

Name: MS. MARIANNE C. LABARBERA, M.D.
Title: MEDICAL DIRECTOR
Phone: (718) 981-4070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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