Provider Demographics
NPI:1174644231
Name:AVADIKOGLU, MURAT A (MD)
Entity Type:Individual
Prefix:
First Name:MURAT
Middle Name:A
Last Name:AVADIKOGLU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:26 UNION WHARF
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-1202
Mailing Address - Country:US
Mailing Address - Phone:617-367-8331
Mailing Address - Fax:617-367-8331
Practice Address - Street 1:1440 MAIN ST
Practice Address - Street 2:SURGISITE BOSTON
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1630
Practice Address - Country:US
Practice Address - Phone:781-891-9300
Practice Address - Fax:781-891-9305
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2009-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA29797207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA29797OtherMEDICAL LICENSE