Mazumdar, Maitreyi

Mazumdar, Maitreyi is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Mazumdar, Maitreyi can be contacted via phone (617) 355-2918.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-2918
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 208112 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 208112 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 208112 Massachusetts

Profile Details

NPI number 1003970328
LBN Legal business name Mazumdar, Maitreyi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 28th, 2008 - about 16 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 1003970328 NPPES
Massachusetts MEDICAID 2117312

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