Provider Demographics
NPI:1487024832
Name:IORA HEALTH, INC
Entity Type:Organization
Organization Name:IORA HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC-DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-454-4672
Mailing Address - Street 1:101 TREMONT ST FL 6
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-5004
Mailing Address - Country:US
Mailing Address - Phone:617-454-4672
Mailing Address - Fax:617-701-7740
Practice Address - Street 1:287 MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-5056
Practice Address - Country:US
Practice Address - Phone:781-222-3033
Practice Address - Fax:781-281-9927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty