Individual
EVAN Z MACOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-2000
Mailing address
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L-244404
MA
Other
Enumeration date
06/21/2010
Last updated
04/14/2014
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