Individual
MIKE B SIROKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SUITE 3B, BOSTON, MA 02118-2526
(617) 638-8485
(617) 638-8487
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33777
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042053
—
MA
Enumeration date
02/03/2006
Last updated
03/19/2012
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