Organization
MYSTIC VALLEY MEDICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BING HO KO MD (PRESIDENT)
(781) 396-4514
Entity
Organization
Contact information
Practice address
101 MAIN ST, SUITE 110, MEDFORD, MA 02155-4540
(781) 396-4514
(781) 395-4778
Mailing address
101 MAIN ST, SUITE 110, MEDFORD, MA 02155-4540
(781) 396-4514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59608
MA
Other
Enumeration date
06/21/2006
Last updated
07/23/2007
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