PHYLLIS J. KORNGUTH

BOSTON, MA
NPI1790741155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MA  41281)
Enumeration Date2006-04-25
Last Update Date2012-01-04
Business Address
PHYLLIS J. KORNGUTH MD, PHD
133 BROOKLINE AVE
BOSTON, MA 02215-3904
Phone number: 617-421-1000
Mailing Address
PHYLLIS J. KORNGUTH MD, PHD
147 MILK ST PROVIDER ENROLLMENT DEPARTMENT - 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-421-2508
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