Mir, Julita

Mir, Julita is an individual health care provider with primary practice located at 1353 Dorchester Ave , Dorchester MA 02122-2932. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Mir, Julita can be contacted via phone (617) 740-2277.

Contact Information

Primary practice address
1353 Dorchester Ave Dorchester MA 02122-2932
Phone: (617) 740-2277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 151010 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 151010 Massachusetts

Profile Details

NPI number 1598725541
LBN Legal business name Mir, Julita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 22nd, 2014 - about 11 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 1598725541 NPPES
Massachusetts Other 04903589 ECFMG
Massachusetts MEDICAID 3161455 ECFMG

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