Irons, Mira B
Irons, Mira B is an individual health care provider with primary practice located at 300 Longwood Ave Children'S Hospital Boston, Fegan 10, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics is her primary health care specialty. Irons, Mira B can be contacted via phone (617) 355-4697.Contact Information
Primary practice address
300 Longwood Ave Children'S Hospital Boston, Fegan 10
Boston MA 02115-5724
Phone: (617) 355-4697
Fax: (617) 730-0788
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | 51067 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 51067 | Massachusetts |
Profile Details
NPI number | 1134184666 |
---|---|
LBN Legal business name | Irons, Mira B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2006 |
Last updated | Aug 15th, 2007 - about 18 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 | 1134184666 | NPPES |
Massachusetts | MEDICAID | 3011400 |
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