Augustyn, Marilyn C

Augustyn, Marilyn C is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Augustyn, Marilyn C can be contacted via phone (617) 414-4841.

Contact Information

Primary practice address
850 Harrison Ave Yacc5 Boston MA 02118-4001
Phone: (617) 414-4841
Fax: (617) 414-7915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 75965 Massachusetts
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 75965 Massachusetts

Profile Details

NPI number 1194716860
LBN Legal business name Augustyn, Marilyn C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 3rd, 2014 - about 11 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 1194716860 NPPES
Massachusetts MEDICAID 110051647A

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