Dr. Richard Eric Mizner
MD | Pediatrics | Male
Dr. Richard Eric Mizner, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Richard Eric Mizner is
55 Fruit St, Pediatric Group Practice Yaw 6, Boston, Massachusetts - 02114-2621. He can be contacted on phone at
617-726-2728 and fax number 617-724-3948.
Dr. Richard Eric Mizner is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Richard Eric Mizner is
1417947292 which was assigned by NPPES on 24 Oct, 2005 and it was last updated on 31 Jul, 2012.
Dr. Richard Eric Mizner license number is
81000 for Pediatrics (208000000X) in Massachusetts.
Dr. Richard Eric Mizner 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:
Dr. Richard Eric Mizner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Richard Eric Mizner |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Richard Eric Mizner 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 : | 55 Fruit St, Pediatric Group Practice Yaw 6
Boston, MA, 02114-2621
United States |
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| Phone Number : | 617-726-2728 |
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| Fax Number : | 617-724-3948 |
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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 : | 1417947292 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Oct, 2005 |
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| Last Updated On : | 31 Jul, 2012 |
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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 Dr. Richard Eric Mizner are as mentioned. Primary taxonomy code for Dr. Richard Eric Mizner, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 81000 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Richard Eric Mizner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 087000 | Other | MA | TUFTS HEALTH PLAN |
| J31195 | Other | MA | BCBS MA |
| 3138046 | MEDICAID | MA | |
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 : | Po Box 9142, Mass General Physician Organization
Charlestown, MA, 02129-9142
United States |
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| Phone Number : | 617-726-2728 |
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| Fax Number : | 617-724-3948 |
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Business Location:
Patients can refer following map for directions to
Dr. Richard Eric Mizner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.