Mashimo, Hiroshi

Mashimo, Hiroshi is an sole proprietor health care provider with primary practice located at 1400 Vfw Pkwy Res 151 Bld 3, W Roxbury MA 02132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mashimo, Hiroshi can be contacted via phone (857) 203-5640.

Contact Information

Primary practice address
1400 Vfw Pkwy Res 151 Bld 3 W Roxbury MA 02132
Phone: (857) 203-5640
Fax: (857) 203-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 73215 Massachusetts
Other Service Providers / Specialist 174400000X 73215 Massachusetts

Profile Details

NPI number 1073616348
LBN Legal business name Mashimo, Hiroshi
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Mar 20th, 2020 - about 5 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 1073616348 NPPES
Massachusetts MEDICAID #3139492

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