Organization
BOSTON MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUOC H. HA (DIRECTOR)
(949) 735-8451
Entity
Organization
Contact information
Practice address
1001 N. LAKE DESTINY DRIVE, SUITE 120, MAITLAND, FL 32751
(407) 951-8795
(407) 951-8796
Mailing address
1001 N. LAKE DESTINY DRIVE, SUITE 120, MAITLAND, FL 32751
(407) 951-8795
(407) 951-8796
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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