Burnett, Melissa Mae
Burnett, Melissa Mae is an individual health care provider with primary practice located at 55 Fruit St Yaw 6800, Boston MA 02114-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Burnett, Melissa Mae can be contacted via phone (617) 726-2730.Contact Information
Primary practice address
55 Fruit St Yaw 6800
Boston MA 02114-2621
Phone: (617) 726-2730
Fax: (617) 724-3948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 220548 | Massachusetts |
Profile Details
| NPI number | 1407837818 |
|---|---|
| LBN Legal business name | Burnett, Melissa Mae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407837818 | NPPES |
| Massachusetts | Other | 469653 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2087081 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J28205 | TUFTS HEALTH PLAN |
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