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Boston Food Allergy Center Llc
Gastroenterology Physician in Boston, Massachusetts
NPI 1386019503

Boston Food Allergy Center Llc is a Gastroenterology Physician based in Boston, MA and is specialized in Gastroenterology. Boston Food Allergy Center Llc practices in Boston, MA. The NPI Number for Boston Food Allergy Center Llc is 1386019503 and holds a License No. 230907 (Massachusetts).

The current practice location address for Boston Food Allergy Center Llc is 65 Harrison Ave Ste 201, Boston, MA and can be reached out via phone at 617-636-8858 and via fax at 617-636-8826.

Location: 65 Harrison Ave Ste 201, Boston, MA, 02111-1587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386019503
Provider Name
Boston Food Allergy Center Llc
Credential
Provider Entity Type
Organization
Address
65 Harrison Ave Ste 201, Boston, MA, 02111-1587
Phone Number
617-636-8858
Fax Number
617-636-8826
Provider Enumeration Date
12/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110085164A 05 MA
230907 01 MA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
65 Harrison Ave Ste 201
City
Boston
State
Massachusetts
Zip
02111-1924
Phone Number
617-636-8858
Fax Number
617-636-8826
person
Provider Business Mailing Address Details
Address
65 Harrison Ave Ste 201
City
Boston
State
Massachusetts
Zip
02111-1924
Phone Number
617-636-8858
Fax Number
617-636-8826
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
230907 (Massachusetts)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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