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Individual

DR. MANISH R MASKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1126
(617) 421-1066
Mailing address
147 MILK ST FL 9, BOSTON, MA 02109-4806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233056
MA
207RN0300X
Nephrology Physician
Primary
233056
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110089044A
MA
Enumeration date
07/25/2007
Last updated
10/25/2011
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