Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1085 | MA |
NPI | 1215941851 |
---|---|
Provider Name | Dr. Gregory Stuart Symko |
First Address | Concord, MA 01742-3302 |
Second Address | Concord, MA 01742-3302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 18/11/2009 |