Provider Demographics
NPI:1043875495
Name:KOENIG, JULIE L (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:L
Last Name:KOENIG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:LUNDER LL2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-7646
Mailing Address - Fax:857-238-6377
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6106
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2836272085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology