Organization
MYHEALTH101
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH GOETZEL M.D. (MEDICAL DIRECTOR)
(617) 529-8195
Entity
Organization
Contact information
Practice address
366 MASSACHUSETTS AVE, SUITE 103, ARLINGTON, MA 02474-6733
(617) 529-8195
(617) 507-6525
Mailing address
366 MASSACHUSETTS AVE, SUITE 103, ARLINGTON, MA 02474-6733
(617) 529-8195
(617) 507-6525
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
215542
MA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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