Tunick, Mitchell Owen

Tunick, Mitchell Owen is an individual health care provider with primary practice located at 1153 Centre St Suite 31, Boston MA 02130-3446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tunick, Mitchell Owen can be contacted via phone (617) 522-3100.

Contact Information

Primary practice address
1153 Centre St Suite 31 Boston MA 02130-3446
Phone: (617) 522-3100
Fax: (617) 522-6366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55132 Massachusetts

Profile Details

NPI number 1215962162
LBN Legal business name Tunick, Mitchell Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 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 1215962162 NPPES
Massachusetts MEDICAID 3024377

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