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Organization

DHA PHO-W LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A MUGGIA MD (PRESIDENT)
(781) 391-5525
Entity
Organization

Contact information

Practice address
91 MONTVALE AVE #206, STONEHAM, MA 02180-3649
(781) 438-5565
(781) 438-3793
Mailing address
91 MONTVALE AVE #206, STONEHAM, MA 02180-3649
(781) 438-5565
(781) 438-3793

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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