Organization Name: | HERBERT & KONG LLC |
NPI Number: | 1487033288 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTHA R. HERBERT (CO-DIRECTOR) |
Mailing Address: | 777 Concord Ave Suite 104 Cambridge |
State: | MA US |
Postal Code: | 021381056 |
Phone Number: | 8573669399 |
Fax Number: | 8572635810 |
NPI Enumeration Date: | 05/26/2015 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 150498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |