Nedg Boston

NPI #1770108656 in Boston, Massachusetts

Provider Information

NPI Number: 1770108656
Entity Type: Organization
Organization Name: Nedg Boston
Primary Specialty: Dentist
Enumeration Date: Jun 16, 2020
Last Updated: Jun 16, 2020

Practice Location

Address: 1 MILK ST
City: Boston
State: Massachusetts
ZIP Code: 02109-5413
Phone: (508) 281-6464

Authorized Official

Name: MR. GOKULAN THIAGARAJAH, DO
Title: DIRECTOR OF OPERATIONS
Phone: (508) 962-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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