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Organization

BOSTON MEDICAL GROUP, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. QUOC H. HA (DIRECTOR)
(949) 735-8451
Entity
Organization

Contact information

Practice address
1020 19TH STREET N.W., SUITE 225, WASHINGTON, DC 20006
(202) 419-1840
(202) 419-1842
Mailing address
1020 19TH STREET N.W., SUITE 225, WASHINGTON, DC 20006
(202) 419-1840
(202) 419-1842

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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