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1295905115
KOUTA ITO
WORCESTER, MA
NPI
1295905115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: MA 266750)
Enumeration Date
2008-03-06
Last Update Date
2022-05-01
Business Address
KOUTA ITO M.D., M.S.
291 LINCOLN ST
WORCESTER, MA 01605-3643
Phone number: 508-334-6251
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Mailing Address
KOUTA ITO M.D., M.S.
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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