Organization
BACK BAY ALLERGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN GEORGE OSTRO M.D. (MANAGER)
(617) 734-2202
Entity
Organization
Contact information
Practice address
1101 BEACON ST, BROOKLINE, MA 02446-5587
(617) 734-2202
(617) 734-2408
Mailing address
1101 BEACON ST, SUITE 7 EAST, BROOKLINE, MA 02446-5587
(617) 734-2202
(617) 734-2408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30946
MA
Other
Enumeration date
12/17/2006
Last updated
07/15/2015
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