| Srk Md, Llc | |
|
210 Bear Hill Rd Ste 304 Waltham MA 02451-1025 | |
| (781) 684-0600 | |
| (781) 684-0601 |
| Full Name | Srk Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Bear Hill Rd Ste 304, Waltham, Massachusetts |
| Authorized Official Name and Position | Steven R. Kanner (OWNER) |
| Authorized Official Contact | 7816840600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srk Md, Llc 12 Bypass Rd Lincoln MA 01773-1202 Ph: (781) 259-0222 | Srk Md, Llc 210 Bear Hill Rd Ste 304 Waltham MA 02451-1025 Ph: (781) 684-0600 |
| NPI Number | 1578083119 |
|---|---|
| Provider Enumeration Date | 06/25/2017 |
| Last Update Date | 06/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578083119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 209939 (Massachusetts) | Primary |
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