Mela, Theofanie
Mela, Theofanie is an individual health care provider with primary practice located at 55 Fruit St Electrophysiology Lab Arrhythmia Service Grb 109, Boston MA 02114-2621. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Mela, Theofanie can be contacted via phone (617) 726-4662.Contact Information
Primary practice address
55 Fruit St Electrophysiology Lab Arrhythmia Service Grb 109
Boston MA 02114-2621
Phone: (617) 726-4662
Fax: (617) 726-3852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 80414 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 80414 | Massachusetts |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 80414 | Massachusetts |
Profile Details
| NPI number | 1366423832 |
|---|---|
| LBN Legal business name | Mela, Theofanie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Nov 26th, 2012 - about 13 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 | 1366423832 | NPPES |
| Massachusetts | Other | 779923 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J21120 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3193659 | TUFTS HEALTH PLAN |
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