Individual
EUGENE ADIVOSO BACORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
10 PAYSON ST, LEXINGTON, MA 02421-7924
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
245971
MA
Other
Enumeration date
06/09/2008
Last updated
05/25/2023
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