Rong J Guan, Md Llc | |
30 Kneeland St Fl 5 Boston MA 02111-1528 | |
(617) 290-9881 | |
(617) 350-6555 |
Full Name | Rong J Guan, Md Llc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 30 Kneeland St Fl 5, Boston, Massachusetts |
Authorized Official Name and Position | Rong J Guan (MEMBER) |
Authorized Official Contact | 6172909881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rong J Guan, Md Llc 30 Kneeland Street, 5th Floor Boston MA 20111-1528 Ph: (617) 290-9881 | Rong J Guan, Md Llc 30 Kneeland St Fl 5 Boston MA 02111-1528 Ph: (617) 290-9881 |
NPI Number | 1003169327 |
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Provider Enumeration Date | 10/24/2012 |
Last Update Date | 11/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003169327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 150086 (Massachusetts) | Primary |
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