Mikolasko, Brian

Mikolasko, Brian is an sole proprietor health care provider with primary practice located at 75 Francis St , Boston MA 02115. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Hospitals / General Acute Care Hospital. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mikolasko, Brian can be contacted via phone (617) 732-5500.

Contact Information

Primary practice address
75 Francis St Boston MA 02115
Phone: (617) 732-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 463951 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 149352 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 16379 Rhode Island
Hospitals / General Acute Care Hospital 282N00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 276683 Massachusetts

Profile Details

NPI number 1346669512
LBN Legal business name Mikolasko, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2014
Last updated Mar 7th, 2023 - about last year

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 1346669512 NPPES
Pennsylvania Other MD463951 PENNSYLVANIA STATE BOARD OF MEDICINE
Pennsylvania Other A149352 PENNSYLVANIA STATE BOARD OF MEDICINE

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