Mino Kenudson, Mari
Mino Kenudson, Mari is an individual health care provider with primary practice located at 55 Fruit St Wrn 225 Pathology Associates, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Mino Kenudson, Mari can be contacted via phone (617) 726-2967.Contact Information
Primary practice address
55 Fruit St Wrn 225 Pathology Associates
Boston MA 02114-2696
Phone: (617) 726-2967
Fax: (617) 726-7474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 215957 | Massachusetts |
Profile Details
| NPI number | 1467430462 |
|---|---|
| LBN Legal business name | Mino Kenudson, Mari |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467430462 | NPPES |
| Massachusetts | Other | 215957 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J25460 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 0181421 | TUFTS HEALTH PLAN |
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