Mok, Pamela L
Mok, Pamela L is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Mok, Pamela L can be contacted via phone (617) 421-1336.Contact Information
Primary practice address
133 Brookline Ave
Boston MA 02215-3904
Phone: (617) 421-1336
Fax: (617) 421-1359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 80178 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 80178 | Massachusetts |
Profile Details
| NPI number | 1134107733 |
|---|---|
| LBN Legal business name | Mok, Pamela L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Mar 5th, 2021 - about 3 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 | 1134107733 | NPPES |
| Massachusetts | MEDICAID | 3157407 |
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