Individual
DR. BONAVENTURE SUIRU DZEKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-4000
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1023634
MA
207R00000X
Internal Medicine Physician
125.079841
IL
207RC0000X
Cardiovascular Disease Physician
Primary
1023634
MA
Other
Enumeration date
04/29/2022
Last updated
03/24/2025
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