Mark Puder
Pediatric Surgery
300 Longwood Ave/fegan 3 Children's Hospital
Boston
, Massachusetts 02115
Mark Puder
Pediatric Surgery
300 Longwood Ave/fegan 3 Children's Hospital
Boston
, Massachusetts 02115
(617) 355-1838
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Mark Puder
- 300 Longwood Avenue, 3rd Floor Fegan Building Boston Children's Hospital
- Boston, MA
- Zip : 02115
- Phone : (617) 355-1838
Second Address
- Mark Puder
- 300 Longwood Ave/fegan 3 Children's Hospital
- Boston, MA
- Zip : 02115
- Phone : (617) 355-3038
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 73855 | MA |
National Provider Identifier
| NPI | 1285671875 |
|---|---|
| Provider Name | Mark Puder |
| First Address | Boston, MA 02115 |
| Second Address | Boston, MA 02115 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 28/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.