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Organization

COMMUNITY INTERNIST ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KANU O PATEL MD (PRESIDENT)
(781) 279-2030
Entity
Organization

Contact information

Practice address
92 MONTVALE AVENUE, SUITE 2200, STONEHAM, MA 02180-3636
(781) 279-2030
(781) 279-2078
Mailing address
92 MONTVALE AVENUE, SUITE 2200, STONEHAM, MA 02180-3636
(781) 279-2030
(781) 279-2078

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
40952
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2067137
MA
05
9774165
MA
Enumeration date
01/31/2007
Last updated
03/08/2016
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