Mgpo

NPI #1902253438 in Boston, Massachusetts

Provider Information

NPI Number
1902253438
Entity Type
Organization
Organization Name
Mgpo
Primary Specialty
Internal Medicine
Enumeration Date
May 13, 2016
Last Updated
May 13, 2016

Practice Location

Address
55 FRUIT ST
City
Boston
ZIP Code
02114-2621
Phone
(617) 724-7168

Authorized Official

Name
TERRY A MILLER
Title
ENROLLMENT SPECIALIST, MGPO
Phone
(617) 724-7168

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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