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Organization

ELY A KIRSCHNER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELY A KIRSCHNER MD (PRESIDENT)
(617) 965-6030
Entity
Organization

Contact information

Practice address
2000 WASHINGTON STREET, SUITE 320, NEWTON LOWER FALLS, MA 02462
(617) 965-6030
(617) 965-6525
Mailing address
2000 WASHINGTON STREET, SUITE 320, NEWTON LOWER FALLS, MA 02462
(617) 965-6030
(617) 965-6525

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M13239
BCBS MA
Enumeration date
03/08/2006
Last updated
08/17/2010
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