Mystic Valley Medical Associates Inc.

LBN: Mystic Valley Medical Associates Inc.
Mystic Valley Medical Associates Inc. is an health care organization with primary practice located at 101 Main St Suite 110, Medford MA 02155-4540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mystic Valley Medical Associates Inc. can be contacted via phone (781) 396-4514, or through Ko, Bing Ho via phone (781) 396-4514.

Contact Information

Primary practice address
101 Main St Suite 110 Medford MA 02155-4540
Phone: (781) 396-4514
Fax: (781) 395-4778
Website:
Map and Directions
Authorized official contact:
Name: Ko, Bing Ho Doctor of Medicine (MD)
Phone: (781) 396-4514

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 59608 Massachusetts

Profile Details

NPI number 1275579179
LBN Legal business name Mystic Valley Medical Associates Inc.
DBA Doing business as
Authorized official Ko, Bing Ho Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 23rd, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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