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Individual

CHRISTOPHER CUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 522-0811
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
70534
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3048101
MA
Enumeration date
11/08/2005
Last updated
07/08/2007
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