George William Dec JR. MD

NPI 1063402139 - Internal Medicine - 207R00000X

NPI Details
NPI 1063402139
Gender Male
Enumeration Date 10/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
55 FRUIT STREET
YAW 5
BOSTON MA, 02114-2696, US
Phone (617) 726-8237
Fax (617) 724-6767
Business Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 45792
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According to our database, Dr. George William Dec JR. MD NPI is 1063402139, taxonomy code is 207R00000X and license number is 45792, license state is located at Massachusetts. George William Dec JR. MD physically located at 55 Fruit Street, Boston MA, 02114-2696. NPI Number George William Dec JR. MD has the Individual type.

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1063402139 NPI number is provided on an as is basis without warranty of any kind. 1063402139 is maintained by the National Plan & Provider Enumeration System. The contents of George William Dec JR. MD are for informational purposes only.