Dr. EMILIE PETULA TIBEMEN BIONDOKIN M.D.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1225564867- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 195 CANAL ST, MALDEN, MA, 021486701
- Phone
- (781) 338-0500
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: MA #271780
Family Medicine
Primary License: MD #D94898