Organization
HERBERT & KONG LLC
Active
Parent organization
NOT APPLICABLE (SAME AS ORG - COMPUTER REQUIRING FILLING IN FIELD)
Other names
Body-Brain Resilience Center...
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOT APPLICABLE (SAME AS ORG - COMPUTER REQUIRING FILLING IN FIELD)
Authorized official
DR. MARTHA R. HERBERT MD (CO-DIRECTOR)
(857) 366-9399
Entity
Organization
Contact information
Practice address
777 CONCORD AVE, SUITE 104, CAMBRIDGE, MA 02138-1056
(857) 366-9399
(857) 263-5810
Mailing address
777 CONCORD AVE,, SUITE 104, CAMBRIDGE, MA 02138-1053
(857) 366-9399
(857) 263-5810
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
150498
MA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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