Search › Massachusetts › 207RG0300X
Renzo Mogollon, MD
NPI 1356090617 · on the registry since 2022
Practice
- Address
- 72 E Concord St # 2700
Boston, MA 02118 - Phone
- (617) 638-6178
Additional practice sites
- 745 W Moana Ln Ste 300, Reno, NV
Registry record
- Primary taxonomy
- 207RG0300X
207RG0300X
- Also registered as
- 390200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts