Individual
DR. MATHEW M AVRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 STANIFORD ST, STE 200 DERMATOLOGY LASER CENTER, BOSTON, MA 02114-2517
(617) 724-6960
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-6960
(617) 726-6970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
226400
MA
Other
Enumeration date
11/16/2005
Last updated
11/05/2012
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