Maypole, John S

Maypole, John S is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maypole, John S can be contacted via phone (617) 414-4841.

Contact Information

Primary practice address
850 Harrison Ave Yacc5 Boston MA 02118-4001
Phone: (617) 414-4841
Fax: (617) 414-7915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 159322 Massachusetts

Profile Details

NPI number 1356330476
LBN Legal business name Maypole, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Apr 23rd, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356330476 NPPES
Massachusetts MEDICAID 110000603A

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