Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mystic Valley Medical Associates Inc

Organization Internal Medicine Physician · NPI 1275579179

Mystic Valley Medical Associates Inc is an Internal Medicine Physician in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Main St Ste 110
Medford, MA 02155-4540
Phone: (781) 396-4514
Fax: (781) 395-4778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 59608 (MA)

Record details

NPI number1275579179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bing Ko — President · (781) 396-4514
NPI enumeratedJune 21, 2006
Last updated in NPPESJuly 23, 2007
Mailing address101 Main St, Suite 110, Medford, MA 02155-4540

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