Individual
MR. KEN GOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
273 BILLINGS ST, NORTH QUINCY, MA 02171-1803
(617) 686-3746
Mailing address
273 BILLINGS ST, NORTH QUINCY, MA 02171-1803
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2013019065
MA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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