Anselm, Irina A.

Anselm, Irina A. is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 11, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Anselm, Irina A. can be contacted via phone (617) 355-2758.

Contact Information

Primary practice address
300 Longwood Ave Fegan 11 Boston MA 02115-5724
Phone: (617) 355-2758
Fax: (617) 730-0285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 152304 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 152304 Massachusetts

Profile Details

NPI number 1396790788
LBN Legal business name Anselm, Irina A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Aug 27th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396790788 NPPES
Massachusetts MEDICAID 3183891

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