Whalen, Michael J

Whalen, Michael J is an individual health care provider with primary practice located at 55 Fruit Street Ell 3 Pediatric Care Unit, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Whalen, Michael J can be contacted via phone (617) 724-4380.

Contact Information

Primary practice address
55 Fruit Street Ell 3 Pediatric Care Unit Boston MA 02114-2696
Phone: (617) 724-4380
Fax: (617) 724-2696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 157539 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 157539 Massachusetts

Profile Details

NPI number 1902987423
LBN Legal business name Whalen, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated May 20th, 2020 - about 6 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 1902987423 NPPES
Massachusetts Other J19249 BCBS MA
Massachusetts Other 157539 BCBS MA
Massachusetts MEDICAID 3182550 BCBS MA

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