Organization
COMMONWEALTH OB-GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERNA DEMAGGIO MD (PRESIDENT)
(617) 732-1510
Entity
Organization
Contact information
Practice address
1 BROOKLINE PL, SUITE 305, BROOKLINE, MA 02445-7224
(617) 732-1510
(617) 732-0986
Mailing address
1 BROOKLINE PL, SUITE 305, BROOKLINE, MA 02445-7224
(617) 732-1510
(617) 732-0986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
79073
MA
Other
Enumeration date
10/25/2006
Last updated
10/01/2007
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