Iwamoto, Mami A

Iwamoto, Mami A is an individual health care provider with primary practice located at 50 Staniford St Suite 600, Boston MA 02114-2517. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Iwamoto, Mami A can be contacted via phone (617) 367-4800.

Contact Information

Primary practice address
50 Staniford St Suite 600 Boston MA 02114-2517
Phone: (617) 367-4800
Fax: (617) 723-7028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 75264 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 75264 Massachusetts

Profile Details

NPI number 1942281696
LBN Legal business name Iwamoto, Mami A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jan 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942281696 NPPES
Massachusetts Other J12251 BCBS MA
Massachusetts MEDICAID 3093573 BCBS MA
Massachusetts Other 730505 BCBS MA

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