Organization
ACADEMIC RESEARCH CORPORATION
Active
Other names
CAPHMFP - Cardiovascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KROUSKOS (CFO)
(617) 632-9744
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, MASCO 3, BOSTON, MA 02215-5400
(617) 632-9744
Mailing address
330 BROOKLINE AVE, MASCO 3, BOSTON, MA 02215-5400
(617) 632-9744
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
10/06/2008
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