Eckardt, Melody J

Eckardt, Melody J is an individual health care provider with primary practice located at 850 Harrison Ave Yawkey 4Th Floor, Boston MA 02118-4001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Eckardt, Melody J can be contacted via phone (617) 414-2000.

Contact Information

Primary practice address
850 Harrison Ave Yawkey 4Th Floor Boston MA 02118-4001
Phone: (617) 414-2000
Fax: (617) 414-5798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 210589 Massachusetts

Profile Details

NPI number 1760459721
LBN Legal business name Eckardt, Melody J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 29th, 2014 - about 10 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 1760459721 NPPES
Massachusetts MEDICAID 110004605A

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