Individual
DR. THEODORE MOONCAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-4929
Mailing address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
AF4228690-0039
MA
Other
Enumeration date
03/21/2017
Last updated
06/30/2017
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