Individual
HENRY MALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 DARTMOUTH ST, INTERNAL MEDICINE, BOSTON, MA 02116-5123
(617) 859-5102
(617) 859-5050
Mailing address
165 DARTMOUTH ST, INTERNAL MEDICINE, BOSTON, MA 02116-5123
(617) 859-5102
(617) 859-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43635
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102628
—
MA
Enumeration date
06/01/2006
Last updated
06/06/2011
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