Most Relevant Information
Provider Data
| NPI Number: | 1003314212 |
| Provider Name: | JOSHUA GURBERG M.D., C.M. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2018 |
| Last Updated: | 08/23/2018 |
Provider Practice Location
300 LONGWOOD AVE SUITE # BCH3129
BOSTON CHILDREN'S HOSPITAL - DEPT. OF OTOLARYNGOLOGY
BOSTON
MA
02115
Practice Location Phone/Fax
| Phone: | 6173556462 |
| Fax: |
Provider Mailing Location
300 LONGWOOD AVE SUITE # BCH3129
BOSTON CHILDREN'S HOSPITAL - DEPT. OF OTOLARYNGOLOGY
BOSTON
MA
02115
Provider Mailing Phone/Fax
| Phone: | 6173556462 |
| Fax: |