Simon, Mirela
Simon, Mirela is an individual health care provider with primary practice located at 55 Fruit St Wacc 739G, Boston MA 02114-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Simon, Mirela can be contacted via phone (617) 724-2655.Contact Information
Primary practice address
55 Fruit St Wacc 739G
Boston MA 02114-2621
Phone: (617) 724-2655
Fax: (617) 726-9250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 209995 | Massachusetts |
Profile Details
| NPI number | 1972584167 |
|---|---|
| LBN Legal business name | Simon, Mirela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Aug 9th, 2012 - about 13 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 | 1972584167 | NPPES |
| Massachusetts | Other | J24152 | BCBS MA |
| Massachusetts | MEDICAID | 0153923 | BCBS MA |
| Massachusetts | Other | 209773 | BCBS MA |
Popular Providers
-
Greenberg, Steven A
75 Francis St Brigham & Womens Hosp Neuro, Boston MA 02115 -
Schmahmann, Jeremy
55 Fruit Street Vbk 915, Boston MA 02114 -
Khoshbin, Shahram
300 Longwood Ave Children'S Urology Foundation, Boston MA 02115 -
Krishnamoorthy, Kalpathy S
55 Fruit St Yaw 6, Pediatric Neurology, Boston MA 02114 -
Leveroni, Catherine Louise
5 Emerson Place Suite 105 Psychology Assessment Center, Boston MA 02114 -
Dawson, David Michael
75 Francis St , Boston MA 02115-6110 -
Siao-Tick-Chong, Peter
725 Albany Street, Suite 7B Shapiro Bldg, Boston MA 02118-3549 -
Simon, David K
Beth Israel Deaconess Med. Ctr. 330 Brookline Avenue; Room Cls-638, Boston MA 02215