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