King, Elizabeth G.
King, Elizabeth G. is an individual health care provider with primary practice located at 732 Harrison Ave Preston, 3Rd Fl, Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. King, Elizabeth G. can be contacted via phone (617) 638-8488.Contact Information
Primary practice address
732 Harrison Ave Preston, 3Rd Fl
Boston MA 02118
Phone: (617) 638-8488
Fax: (617) 638-8469
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 253680 | Massachusetts |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 253680 | Massachusetts |
Profile Details
NPI number | 1740500107 |
---|---|
LBN Legal business name | King, Elizabeth G. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2010 |
Last updated | Nov 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740500107 | NPPES |
Massachusetts | MEDICAID | 110095308A |
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