Organization
INNOVARE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PING JIN MD (SECRETARY)
(774) 641-7020
Entity
Organization
Contact information
Practice address
1180 BEACON ST STE 4A, BROOKLINE, MA 02446-3806
(508) 654-8496
Mailing address
187 RICE RD, WAYLAND, MA 01778-2808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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