Muthuswamy, Maya

Muthuswamy, Maya is an individual health care provider with primary practice located at 612 Centre St , Jamaica Plain MA 02130-2552. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Muthuswamy, Maya can be contacted via phone (617) 524-4400.

Contact Information

Primary practice address
612 Centre St Jamaica Plain MA 02130-2552
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20507 Massachusetts

Profile Details

NPI number 1265526297
LBN Legal business name Muthuswamy, Maya
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 19th, 2008 - about 18 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 1265526297 NPPES
Massachusetts MEDICAID 02973999

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