Organization
PAUL RADVANY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULO RADVANY MD (PHYSICIAN)
(781) 729-7472
Entity
Organization
Contact information
Practice address
15 DIX ST, WINCHESTER, MA 01890-1870
(781) 729-7472
(781) 721-4584
Mailing address
15 DIX ST, WINCHESTER, MA 01890-1870
(781) 729-7472
(781) 721-4584
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
37688
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054477
—
MA
Enumeration date
11/05/2007
Last updated
10/29/2010
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