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ALEX GERVACIO CUENCA MD
Gender: MALE
NPI: 1992871412
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Last Updated: | 2019-06-17 | ||
Certification Date: |
Details
Name | Value | ||||||||||||||||
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NPI | 1992871412 | ||||||||||||||||
Enumeration Date | 2006-11-27 | ||||||||||||||||
NPI Type | 1 - Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address |
300 LONGWOOD AVE
BOSTON, MA 02115-5724 United States Phone: 617-355-6000 | Fax: View Map ![]() |
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Primary Practice Address |
300 LONGWOOD AVE
BOSTON, MA 02115-5724 United States Phone: 617-355-6000 | Fax: View Map ![]() |
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