Pelidis, Maria

Pelidis, Maria is an individual health care provider with primary practice located at 750 Washington St Nemc Box 836, Boston MA 02111-1526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Pelidis, Maria can be contacted via phone (617) 636-5000.

Contact Information

Primary practice address
750 Washington St Nemc Box 836 Boston MA 02111-1526
Phone: (617) 636-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 156274 Massachusetts

Profile Details

NPI number 1467561514
LBN Legal business name Pelidis, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1467561514 NPPES
Massachusetts MEDICAID 3175197

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