Individual
SIULAM CIEL KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3718
Mailing address
55 FRUIT AVE, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1023600
MA
Other
Enumeration date
03/24/2020
Last updated
06/10/2025
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