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Phyllis J. Kornguth, MD,PHD
Diagnostic Radiology Physician in Boston, Massachusetts
NPI 1790741155

Phyllis J. Kornguth is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Phyllis J. Kornguth practices in Boston, MA and has the professional credentials of MD,PHD. The NPI Number for Phyllis J. Kornguth is 1790741155 and holds a License No. 41281 (Massachusetts).

The current practice location address for Phyllis J. Kornguth is 133 Brookline Ave, Boston, MA and can be reached out via phone at 617-421-1000 and via fax at 617-421-6084.

Location: 133 Brookline Ave, Boston, MA, 02109-4806
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Provider Profile Details
NPI Number
1790741155
Provider Name
Phyllis J. Kornguth
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Female
Address
133 Brookline Ave, Boston, MA, 02109-4806
Phone Number
617-421-1000
Fax Number
617-421-6084
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J21332 01 MA BLUE CROSS BLUE SHIELD
P00272094 01 MD RAILROAD
0015804 01 MA NEIGHBORHOOD HEALTH
4814101 01 MA CIGNA
AA43706 01 MD HARVARD PILGRIM
3196097 05 MA
041281 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
133 Brookline Ave
City
State
Zip
02215-3904
Phone Number
617-421-1000
Fax Number
617-421-6084
person
Provider Business Mailing Address Details
Address
133 Brookline Ave
City
State
Zip
02215-3904
Phone Number
617-421-1000
Fax Number
617-421-6084
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
41281 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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