Individual
PATRICK AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
403 MARLBOROUGH ST, APT #7, BOSTON, MA 02115-1538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255682
MA
207RG0100X
Gastroenterology Physician
Primary
A143067
CA
Other
Enumeration date
06/06/2013
Last updated
10/10/2019
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