Organization
AMY EDALJI MD & R ROGER KOMER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R ROGER KOMER (PHYSICIAN)
(617) 739-6300
Entity
Organization
Contact information
Practice address
1180 BEACON ST, SUITE 5A, BROOKLINE, MA 02446-3885
(617) 739-6300
(617) 734-8484
Mailing address
1180 BEACON ST, SUITE 5A, BROOKLINE, MA 02446-3885
(617) 739-6300
(617) 734-8484
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
03/26/2020
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