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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740500107 NPPES
Massachusetts MEDICAID 110095308A

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