Organization
MYSTIC VALLEY MEDICAL ASSOCIATES INC.
Active
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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