Mirna Aeschlimann, MD FAAP
Individual provider Active NPI Pediatrics Physician · Stoneham, MA
NPI 1649281973 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649281973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 32593 (MA)
- Practice address
- 577 Main Street
Stoneham, MA 02180 - Phone
- (781) 438-7330
- Fax
- (781) 279-4046
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics Inc | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32593 | MA | Yes |
Addresses
Primary practice location
577 Main Street
Stoneham, MA 02180
Mailing address
577 Main Street
Stoneham, MA 02180
Phone (781) 438-7330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9768904 | Medicaid | MA |
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All providers in Stoneham, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.