Individual
DR. EMMANUEL MAGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-9729
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(440) 204-9663
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
286534
MA
2085R0202X
Diagnostic Radiology Physician
Primary
286534
MA
Other
Enumeration date
04/07/2016
Last updated
10/10/2021
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