Poma, Allen Mario

Poma, Allen Mario is an individual health care provider with primary practice located at 150 Vassal Ln , Cambridge MA 02138-6839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Poma, Allen Mario can be contacted via phone (617) 714-5663.

Contact Information

Primary practice address
150 Vassal Ln Cambridge MA 02138-6839
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 233989 Massachusetts

Profile Details

NPI number 1063493633
LBN Legal business name Poma, Allen Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Dec 4th, 2008 - about 16 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 1063493633 NPPES
Connecticut MEDICAID 001369629

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