Individual
MYKOL LARVIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, MGH, DEPT OF RADIOLOGY, FND 216, BOSTON, MA 02114-2621
(617) 724-4255
Mailing address
97 AMORY ST, CAMBRIDGE, MA 02139-1229
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
218100
MA
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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