Individual
DR. MIRIAM SUZANNE KOMAROMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-4580
(617) 414-4572
Mailing address
720 HARRISON AVE DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
281405
MA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
281405
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
281405
MA
Other
Enumeration date
09/20/2006
Last updated
01/17/2023
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