Individual
MARDOCHE SIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 575-5756
Mailing address
245 MAIN ST APT 57, WATERTOWN, MA 02472-4312
(718) 877-8297
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
247199
MA
Other
Enumeration date
01/12/2011
Last updated
10/07/2011
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