Individual
DR. SHIZUO MUKAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-5050
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-5050
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
51294
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047962
—
MA
Enumeration date
10/28/2005
Last updated
10/25/2013
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