Individual
MITSUGU OGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS STREET, BOSTON, MA 02115
(617) 732-7678
Mailing address
75 FRANCIS STREET, BWH, DEPARTMENT OF SURGERY, BOSTON, MA 02115
(617) 732-6861
(617) 264-6840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
275010
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
275010
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/28/2016
Last updated
01/30/2020
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