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Individual

CRYSTAL M NORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 FRUIT STREET, COX 201, BOSTON, MA 02114-2696
(617) 726-1721
Mailing address
55 FRUIT STREET, COX 201, BOSTON, MA 02114-2696
(617) 726-1721

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251031
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
251031
MA
207RP1001X
Pulmonary Disease Physician
Primary
251031
MA

Other

Enumeration date
06/05/2008
Last updated
09/09/2016
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