Mass Mpathy LLC
Internal Medicine in Boston, MA. Organization (NPI-2).
NPI number1962099267
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1962099267
- Entity type
- Organization (NPI-2)
- Legal business name
- Mass Mpathy LLC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2020
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Mpathy (Doing Business As)
Practice location
1 Western Ave Apt 307Boston, MA 02163-1031
Phone 339-201-5516
Mailing address
9450 Sw Gemini DrPmb 54003
Beaverton, OR 97008-7105
Other practice locations
11 Pierce St
Brookline, MA 02445-7807
Brookline, MA 02445-7807
Phone 339-201-5516
308 Cushing St
Hingham, MA 02043-3709
Hingham, MA 02043-3709
Phone 339-201-5516
Authorized official
Charlotte Lawson
Physician
2022773119
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