Individual
AMORY DE ROULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
291548
MA
Other
Enumeration date
03/30/2017
Last updated
05/31/2022
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