Innovative Medicine, Pc

NPI 1154653921 - Internal Medicine - 207RN0300X

NPI Details
NPI 1154653921
Enumeration Date 02/04/2010
Last Updated 02/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GERALD C GERALD
Position PRESIDENT
Phone (617) 232-2003
Fax (617) 975-0768
Practice Location
70 PARKER HILL AVE
SUITE 3406
ROXBURY CROSSING MA, 02120-3224, US
Phone (617) 232-2003
Fax (617) 975-0768
Business Location
70 PARKER HILL AVE
SUITE 3406
ROXBURY CROSSING MA, 02120-3224, US
Phone (617) 232-2003
Fax (617) 975-0768
Toxanomy
Taxonomy Code 207RN0300X
License State
License Number
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According to our database, Innovative Medicine, Pc NPI is 1154653921, taxonomy code is 207RN0300X Innovative Medicine, Pc physically located at 70 Parker Hill Ave, Roxbury Crossing MA, 02120-3224. NPI Number 1033115704 has the healthcare provider type.

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1154653921 NPI number is provided on an as is basis without warranty of any kind. 1154653921 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Medicine, Pc are for informational purposes only.