Allen Mario Poma MD

NPI 1063493633 - Emergency Medicine - 207P00000X

NPI Details
NPI 1063493633
Gender Male
Enumeration Date 11/09/2005
Last Updated 12/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
150 VASSAL LN
CAMBRIDGE MA, 02138-6839, US
Phone (617) 714-5663
Fax
Business Location
150 VASSAL LN
CAMBRIDGE MA, 02138-6839, US
Phone (617) 714-5663
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Massachusetts
License Number 233989
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According to our database, Allen Mario Poma MD NPI is 1063493633, taxonomy code is 207P00000X and license number is 233989, license state is located at Massachusetts. Allen Mario Poma MD physically located at 150 Vassal Ln, Cambridge MA, 02138-6839. NPI Number Allen Mario Poma MD has the Individual type.

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1063493633 NPI number is provided on an as is basis without warranty of any kind. 1063493633 is maintained by the National Plan & Provider Enumeration System. The contents of Allen Mario Poma MD are for informational purposes only.