Paul M Ridker MD

NPI 1063478261 - Internal Medicine - 207RC0000X

NPI Details
NPI 1063478261
Gender Male
Enumeration Date 04/25/2006
Last Updated 07/19/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
900 COMMONWEALTH AVE EAST
BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIV
BOSTON MA, 02215, US
Phone (617) 278-0869
Fax
Business Location
900 COMMONWEALTH AVE EAST
BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIV
BOSTON MA, 02215, US
Phone (617) 278-0869
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Massachusetts
License Number 60007
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According to our database, Dr. Paul M Ridker MD NPI is 1063478261, taxonomy code is 207RC0000X and license number is 60007, license state is located at Massachusetts. Paul M Ridker MD physically located at 900 Commonwealth Ave East, Boston MA, 02215. NPI Number Paul M Ridker MD has the Individual type.

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1063478261 NPI number is provided on an as is basis without warranty of any kind. 1063478261 is maintained by the National Plan & Provider Enumeration System. The contents of Paul M Ridker MD are for informational purposes only.