Mystic Valley Medical Associates INC.
Internal Medicine in Medford, Massachusetts
1275579179- Practice location
- 101 Main St, Suite 110, Medford, MA 02155-4540
- Phone
- 781-396-4514
- Fax
- 781-395-4778
- Last updated
- July 23, 2007
Mystic Valley Medical Associates INC. is a healthcare organization based in Medford, MA. Mystic Valley Medical Associates INC. practices in Medford, MA. The NPI Number for Mystic Valley Medical Associates INC. is 1275579179 and holds a License No. 59608 (MA). The current practice location address for Mystic Valley Medical Associates INC. is 101 Main St, Suite 110, Medford, MA 02155-4540 and can be reached out via phone at 781-396-4514 and via fax at 781-395-4778.
Provider Profile Details
- NPI Number
- 1275579179
- Provider Name
- Mystic Valley Medical Associates INC.
- Provider Entity Type
- Organization
- Address
- 101 Main St, Suite 110, Medford, MA 02155-4540
- Phone Number
- 781-396-4514
- Fax Number
- 781-395-4778
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Bing Ho Ko, MD · President · 781-396-4514
- Provider Enumeration Date
- June 21, 2006
- Last Update Date
- July 23, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Main St
Suite 110
Medford, MA 02155-4540 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4540
- Phone Number
- 781-396-4514
- Fax Number
- 781-395-4778
Provider Business Mailing Address Details
- Address
- 101 Main St
Suite 110
Medford, MA 02155-4540 - City
- Medford
- State
- MA
- Zip
- 02155-4540
- Phone Number
- 781-396-4514
License Information
- License Number
- 59608
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mystic Valley Medical Associates INC.?
The NPI number of Mystic Valley Medical Associates INC. is 1275579179. It was assigned on June 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Mystic Valley Medical Associates INC.?
Mystic Valley Medical Associates INC. is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 59608.
Where does Mystic Valley Medical Associates INC. practice?
The practice location is 101 Main St, Suite 110, Medford, MA 02155-4540. The office can be reached at 781-396-4514 (phone) or 781-395-4778 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275579179 directly on the NPPES registry website.