| Dha Pho-w Llc | |
|
91 Montvale Ave #206 Stoneham MA 02180-3649 | |
| (781) 438-5565 | |
| (781) 438-3793 |
| Full Name | Dha Pho-w Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 91 Montvale Ave #206, Stoneham, Massachusetts |
| Authorized Official Name and Position | Robert A Muggia (PRESIDENT) |
| Authorized Official Contact | 7813915525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dha Pho-w Llc 91 Montvale Ave #206 Stoneham MA 02180-3649 Ph: (781) 438-5565 | Dha Pho-w Llc 91 Montvale Ave #206 Stoneham MA 02180-3649 Ph: (781) 438-5565 |
| NPI Number | 1962973131 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962973131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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