Divo, Miguel Jose

Divo, Miguel Jose is an individual health care provider with primary practice located at 75 Francis St Pulmonary Division Brigham And Women'S Hospital, Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Divo, Miguel Jose can be contacted via phone (857) 307-0310.

Contact Information

Primary practice address
75 Francis St Pulmonary Division Brigham And Women'S Hospital Boston MA 02115-6110
Phone: (857) 307-0310
Fax: (617) 582-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 205529 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 205529 Massachusetts

Profile Details

NPI number 1912993577
LBN Legal business name Divo, Miguel Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 7th, 2012 - about 12 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 1912993577 NPPES
Massachusetts MEDICAID 2617610

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