| Doctor Name: | TAKASHI MAKI |
| NPI Number: | 1518088665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 45437 |
| Business Practice Address: | Harvard Inst Of Medicine 77 Avenue Louis Pasteur Boston, MA - 02115 |
| Business Phone Number: | 6176670896 |
| Business Fax Number: | |
| Mailing Address: | 106 Center Street, P.o. Box 236 DOVER |
| State: | MA |
| Postal Code: | 02030 |
| Phone Number: | 6176670896 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 45437 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |