# PRATT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pratt Medical Group, Inc -Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104146992
- **Authorized official:** EDWARD GALLEGOS (DIRECTOR)
- **Authorized official phone:** (617) 636-7549

## Contact information

- **Practice address:** 800 WASHINGTON ST, BOX 1013, BOSTON, MA 02111-1552
- **Practice address phone:** (617) 636-0249
- **Practice address fax:** (617) 636-4719
- **Mailing address:** 800 WASHINGTON ST, BOX 1013, BOSTON, MA 02111-1552
- **Mailing address phone:** (617) 636-0249
- **Mailing address fax:** (617) 636-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 04/21/2017