Michael Docktor MD

NPI 1669650685 - Pediatrics - 208000000X

NPI Details
NPI 1669650685
Gender Male
Enumeration Date 01/31/2008
Last Updated 12/09/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
300 LONGWOOD AVE
HUNNEWELL GROUND
BOSTON MA, 02115-5724, US
Phone (617) 355-6058
Fax
Business Location
30 ABBOTT ST
NEEDHAM MA, 02492-1830, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Massachusetts
License Number 235349
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According to our database, Michael Docktor MD NPI is 1669650685, taxonomy code is 208000000X and license number is 235349, license state is located at Massachusetts. Michael Docktor MD physically located at 300 Longwood Ave, Boston MA, 02115-5724. NPI Number Michael Docktor MD has the Individual type.

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1669650685 NPI number is provided on an as is basis without warranty of any kind. 1669650685 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Docktor MD are for informational purposes only.