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NPI Code Detail

MEDICARE: DR. ANNA MAKELA M.D.

MEDICARE: DR. ANNA MAKELA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD-15733HI
22084P0800XPsychiatry Physician290182MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1290182OTHERMAMA BOARD OF MEDICINE

General Provider Information

NPI Number : 1467613398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA MAKELA M.D.
Provider Business Mailing Address
First Line : 170 SHIRLEY RD
Second Line :
City : LANCASTER
State : MA
Zip : 01523-2563
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1493 CAMBRIDGE ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-1099
Country : US
Telephone Number : 617-665-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 08/11/2022

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