Minevich, Ida M

Minevich, Ida M is an individual health care provider with primary practice located at 77 Warren St , Brighton MA 02135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Minevich, Ida M can be contacted via phone (617) 562-5250.

Contact Information

Primary practice address
77 Warren St Brighton MA 02135
Phone: (617) 562-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 213749 Massachusetts

Profile Details

NPI number 1891780367
LBN Legal business name Minevich, Ida M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 14th, 2011 - 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.

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