John Patrick T Co MD

NPI 1083605984 - Pediatrics - 208000000X

NPI Details
NPI 1083605984
Gender Male
Enumeration Date 10/31/2005
Last Updated 12/20/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
300 OCEAN AVENUE RCH
REVERE HEALTHCARE CENTER
REVERE MA, 02151-3675, US
Phone (781) 485-6024
Fax (781) 485-6391
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 208000000X
License State Massachusetts
License Number 160256
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According to our database, Dr. John Patrick T Co MD NPI is 1083605984, taxonomy code is 208000000X and license number is 160256, license state is located at Massachusetts. John Patrick T Co MD physically located at 300 Ocean Avenue Rch, Revere MA, 02151-3675. NPI Number John Patrick T Co MD has the Individual type.

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1083605984 NPI number is provided on an as is basis without warranty of any kind. 1083605984 is maintained by the National Plan & Provider Enumeration System. The contents of John Patrick T Co MD are for informational purposes only.