Organization
CARDIAC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MAURICE BROCKINGTON MD (MANAGER)
(617) 524-0372
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 524-0372
Mailing address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 524-0372
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
59672
MA
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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