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Individual

DR. EUGENE ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, CH DEPARTMENT OF NEUROLOGY, BOSTON, MA 02115-5724
(617) 331-4715
(781) 335-5628
Mailing address
300 LONGWOOD AVE, FEGAN11, BOSTON, MA 02115-5724
(781) 331-4715
(781) 335-5628

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
70946
MA
2084N0400X
Neurology Physician
70946
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
70946
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3047407
MA
Enumeration date
07/14/2006
Last updated
10/13/2014
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