Individual
KIT MUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 HIGHLAND AVE, WINCHESTER, MA 01890-1446
(781) 756-2260
(781) 756-2973
Mailing address
LAHEY HOSPITAL & MEDICAL CENTER 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
259605
MA
Other
Enumeration date
09/02/2009
Last updated
07/21/2022
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