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1659337657
IRA N KIRSCHENBAUM
MEDFORD, MA
NPI
1659337657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MA 30357)
Enumeration Date
2006-04-26
Last Update Date
2011-05-12
Business Address
IRA N KIRSCHENBAUM M.D.
26 CITY HALL MALL
MEDFORD, MA 02155-4754
Phone number: 781-306-5100
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Mailing Address
IRA N KIRSCHENBAUM M.D.
147 MILK ST PROVIDER ENROLLMENT DEPARTMENT - 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-421-2508
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