Marvin Konstam
Medical Specialty
Professional ID
- NPI: 1053428474
- PECOS ID: 1557338050
- Enrollment ID: I20050725000359
- Credential(MD, DO, DPM): MD
- Medical School: Columbia University College Of Physicians And Surgeons
- Medical School Graduation Year: 1975
Hospital Service
- Hospital CCN1: 220116
- Business Name (LBN)1: Tufts Medical Center
- Hospital CCN2: 220175
- Business Name (LBN)2: Metrowest Medical Center
- Hospital CCN3: 220063
- Business Name (LBN)3: Lowell General Hospital
- Hospital CCN4: 220100
- Business Name (LBN)4: South Shore Hospital
Medical Practices
- Organization Name: Pratt Medical Group, Inc
- Group Practice ID assigned by PECOS: 3375515661
- Number of Group Practice member: 264
Location
- Address1: 800 Washington St
- Address2: Box 1013
- City: Boston
- State: Massachusetts
- Zip Code: 02111
- Phone Number: (617)636-0491
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):