MYSTIC MEDICAL GROUP, INC.

MEDFORD, MA
NPI1245218676
Entity TypeOrganization
Authorized ContactROBERT S WEINSTEIN
President
781-391-0801
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Additional Taxonomies207R00000X Internal Medicine
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Enumeration Date2006-01-05
Last Update Date2010-10-21
Business Address
MYSTIC MEDICAL GROUP, INC.
170 GOVERNORS AVE
MEDFORD, MA 02155-1643
Phone number: 781-391-4106
Mailing Address
MYSTIC MEDICAL GROUP, INC.
170 GOVERNORS AVE
MEDFORD, MA 02155-1643
Phone number: 781-391-0801