NPIRadar

Michael Sd Agus, MD Valid NPI

Individual provider · Pediatric Critical Care Medicine Physician · Boston, MA

NPI
1952382301
Type
Individual (Type 1)
Primary specialty
Pediatric Critical Care Medicine Physician (Pediatrics)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
2080P0203X
License number
157152 (MA)
Sex
Male
Sole proprietor
No
Enumerated
2005-11-10
Last updated
2014-04-10
Practice location
300 Longwood Ave, Main 11 South
Boston, MA 02115-5724
(617) 355-5849

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