NPI 1922413749

Microbiome Health Research Institute

Organisation Non-Pharmacy Dispensing Site Medford, MA

Practice location

Address: 196 Boston Ave Suite 1000, Medford, MA 02155-4236
Phone: (941) 266-0267

Authorised official

Name: Zain Kassam
Title: Chief Medical Offier
Phone: (857) 333-7375

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1922413749
Entity type: Organization
NPI issued: 1 Jul 2014
Record last updated: 1 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.