Mhg Physician Services - Oregon LLC
General Practice in Boston, MA. Organization (NPI-2).
NPI number1164051520
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1164051520
- Entity type
- Organization (NPI-2)
- Legal business name
- Mhg Physician Services - Oregon LLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2020
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
500 Harrison AveBoston, MA 02118-2439
Phone 248-231-5415
Mailing address
500 Harrison AveBoston, MA 02118-2439
Phone 248-231-5415
Authorized official
William Kramer
Chief Legal Officer
2158135940
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