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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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