John Ellery Munzenrider in Boston - Therapeutic Radiology
John Ellery Munzenrider - NPI 1215961206
John Ellery Munzenrider is a Therapeutic Radiology in Boston, Massachusetts. John Ellery Munzenrider practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for John Ellery Munzenrider is 1215961206. The last update date is 2007-07-08.
John Ellery Munzenrider's current location address is 55 Fruit Street, Boston, Massachusetts. You can contact this provider via phone number 6177266876 and fax number 6177262098. The mailing address for John Ellery Munzenrider is 55 Fruit Street, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ellery Munzenrider |
|---|---|
| Address | 55 Fruit Street, Boston, Massachusetts |
| Phone Number | 6177266876 |
| Fax Number | 6177262098 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215961206 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Fruit Street |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142696 |
| Phone Number | 6177266876 |
| Fax Number | 6177262098 |
Provider's Primary Taxonomy Detail
| Speciality | Therapeutic Radiology |
|---|---|
| Taxonomy | 2085R0203X |
| Licence No | 32285 |
|
Definition: A doctor who specializes in using radiation to treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3059243 | MA | -- | |
| 33285 | MA | TUFTS HEALTH PLAN | |
| M07698 | MA | BCBS MA |
Post Comment/ Review Below
What is the unique identifier code issued to John Ellery Munzenrider by the Centers for Medicare & Medicaid Services?
The John Ellery Munzenrider has been assigned the NPI (National Provider Identifier) 1215961206. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Ellery Munzenrider?
The John Ellery Munzenrider is physically situated at 55 Fruit Street, in the city of Boston, state of MA, with the postal code 21142696.
What is John Ellery Munzenrider's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Ellery Munzenrider's area of specialization is Therapeutic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0203X.
On what date did the John Ellery Munzenrider receive the assignment of its 1215961206 from the Centers for Medicare & Medicaid Services?
The John Ellery Munzenrider was issued its 1215961206 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details related to John Ellery Munzenrider most recently updated or revised?
The information pertaining to John Ellery Munzenrider, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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