Organization
AEGER INPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BYRNE MD (OWNER/PRESIDENT)
(214) 712-2403
Entity
Organization
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(508) 486-5678
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9756370
—
MA
01
—
M19318
BLUE SHIELD
MA
Enumeration date
07/10/2006
Last updated
03/24/2008
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