Mary Maureen Boren
M.D. | Pediatrics | Female
Mary Maureen Boren, M.D. is a Kenosha, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics. Mary Maureen Boren is also known as
Mary M Longo.
Current practice location of Mary Maureen Boren is
8600 75th St Ste 101, Kenosha, Wisconsin - 53142-8200. She can be contacted on phone at
262-652-9430 and fax number 262-652-9433.
Mary Maureen Boren is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Maureen Boren is
1881008738 which was assigned by NPPES on 19 Jun, 2014 and it was last updated on 08 Dec, 2021.
Mary Maureen Boren license number is
71610-20 for Pediatrics (208000000X) in Wisconsin.
Mary Maureen Boren is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Maureen Boren basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Maureen Boren |
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| Other Name : | Mary M Longo |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Mary Maureen Boren address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8600 75th St Ste 101
Kenosha, WI, 53142-8200
United States |
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| Phone Number : | 262-652-9430 |
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| Fax Number : | 262-652-9433 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881008738 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2014 |
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| Last Updated On : | 08 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Maureen Boren are as mentioned. Primary taxonomy code for Mary Maureen Boren, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 71610-20 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Mary Maureen Boren such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1881008738 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8600 75th St Ste 101
Kenosha, WI, 53142-8200
United States |
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| Phone Number : | 262-652-9430 |
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| Fax Number : | 262-652-9433 |
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Business Location:
Patients can refer following map for directions to
Mary Maureen Boren practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.