OrganizationActive
Academic Research Corporation
NPI 1710102397 · Internal Medicine Physician · Boston, MA
Provider details
- NPI number
- 1710102397
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ross Markello, Cfo(617) 632-9720
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
375 Longwood Ave
3rd Floor
Boston, MA 02215-5395
Phone: (617) 632-9720
Approximate (ZIP-level) locationGet directions
Mailing address
375 Longwood Ave
Boston, MA 02215-5395
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.