1659432573 NPI number — MADELEINE I LITTMAN PHD

Table of content: MADELEINE I LITTMAN PHD (NPI 1659432573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659432573 NPI number — MADELEINE I LITTMAN PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LITTMAN
Provider First Name:
MADELEINE
Provider Middle Name:
I
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659432573
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 COURT SQUARE
Provider Second Line Business Mailing Address:
SUITE 830
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-723-7650
Provider Business Mailing Address Fax Number:
617-723-7654

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 COURT SQUARE
Provider Second Line Business Practice Location Address:
SUITE 830
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-723-7650
Provider Business Practice Location Address Fax Number:
617-723-7654
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  MASS2466 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A018251 . This is a "PBH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 723704 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com