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Individual

DR. TEODORO FORCHT DAGI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
423 COMMONWEALTH AVE, NEWTON CENTRE, MA 02459-1301
(617) 301-0404
(617) 266-3619
Mailing address
423 COMMONWEALTH AVE, NEWTON CENTRE, MA 02459-1301
(617) 301-0404
(617) 266-3619

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
032543
GA
2083A0100X
Aerospace Medicine Physician
032543
GA
2086S0102X
Surgical Critical Care Physician
032543
GA

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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