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1790741155
PHYLLIS J. KORNGUTH
BOSTON, MA
NPI
1790741155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MA 41281)
Enumeration Date
2006-04-25
Last Update Date
2012-01-04
Business Address
-- PHYLLIS J. KORNGUTH MD, PhD
133 BROOKLINE AVE
BOSTON, MA 02215-3904
Phone number: 617-421-1000
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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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