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Contact Information

EUGENE Y FUKUDOME, MD
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET, WACC 435
BOSTON, MA02114
 Phone: 617-726-2066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EUGENE Y FUKUDOME · (Male)

NPI Number 1083740401
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2007
Last updated 08/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 235136
Hospital affiliation(s)
  • BETH ISRAEL DEACONESS MEDICAL CENTER - (Acute Care)
    330 BROOKLINE AVENUE
    BOSTON, MA 02215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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