is a Pediatric Nephrology in Boston, Massachusetts. practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for is 1972615052. The last update date is .
's current location address is Po Box 415348, Boston, Massachusetts. You can contact this provider via phone number 8002258885 and fax number 5083341977. The mailing address for is Po Box 415348, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 415348, Boston, Massachusetts |
| Phone Number | 8002258885 |
| Fax Number | 5083341977 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972615052 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 415348 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22410001 |
| Phone Number | 8002258885 |
| Fax Number | 5083341977 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Nephrology |
|---|---|
| Taxonomy | 2080P0210X |
| Licence No | MD11111 |
|
Definition: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N655193 | RI | -- | |
| 137071 | MA | MEDICARE | |
| 110083785A | MA | -- | |
| 241728 | RI | BLUE CROSS | |
| 28463 | RI | NEIGHBORHOOD HEALTH PLAN | |
| 1370701 | MA | MEDICARE | |
| 1203613 | RI | UNITED HEALTH | |
| 410398 | RI | BLUE CHIP |
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