Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 225914 | MA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 225914 | MA |
NPI | 1538375621 |
---|---|
Provider Name | Dr. Ariadne Mueller |
First Address | Boston, MA 02215 |
Second Address | Boston, MA 02215-3904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 19/09/2017 |