Mao, Jianren
Mao, Jianren is an individual health care provider with primary practice located at 15 Parkman St Wac 324 Anesthesia Pain Management, Boston MA 02114-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mao, Jianren can be contacted via phone (617) 726-8810.Contact Information
Primary practice address
15 Parkman St Wac 324 Anesthesia Pain Management
Boston MA 02114-3117
Phone: (617) 726-8810
Fax: (617) 724-3441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 159628 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 159628 | Massachusetts |
Profile Details
| NPI number | 1578554580 |
|---|---|
| LBN Legal business name | Mao, Jianren |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578554580 | NPPES |
| Massachusetts | Other | 159628 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3195007 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J19914 | TUFTS HEALTH PLAN |
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