Organization
MUTO THORACIC CLINIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH MUTO MD (DOCTOR)
(978) 683-2217
Entity
Organization
Contact information
Practice address
100 AMESBURY STREET,, SUITE 113, LAWRENCE, MA 01840
(978) 683-2217
(978) 689-0493
Mailing address
100 AMESBURY STREET,, SUITE 113, LAWRENCE, MA 01840
(978) 683-2217
(978) 689-0493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25701
MA
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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