Misra, Madhusmita
Misra, Madhusmita is an individual health care provider with primary practice located at 55 Fruit St Yaw 6 Pediatric Endocrine Associates, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Misra, Madhusmita can be contacted via phone (617) 726-2909.Contact Information
Primary practice address
55 Fruit St Yaw 6 Pediatric Endocrine Associates
Boston MA 02114-2621
Phone: (617) 726-2909
Fax: (617) 726-5072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 159754 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 159754 | Massachusetts |
Profile Details
| NPI number | 1043291107 |
|---|---|
| LBN Legal business name | Misra, Madhusmita |
| Credentials | MD, MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 26th, 2012 - about 12 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 | 1043291107 | NPPES |
| Massachusetts | MEDICAID | 0193089 | |
| Massachusetts | Other | 1879701 001 | |
| Massachusetts | Other | 204420 | |
| Massachusetts | Other | 7285372 | |
| Massachusetts | Other | 159754 | |
| Massachusetts | Other | J24751 |
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