Individual
AGNES VIRGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
411 MASS AVE, ACTON, MA 01720-3739
(978) 263-2898
(978) 263-3305
Mailing address
411 MASS AVE, ACTON, MA 01720-3739
(978) 263-2898
(978) 263-3305
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
80633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3155706
—
MA
Enumeration date
10/27/2005
Last updated
07/08/2007
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