Healthcare Provider Details

I. General information

NPI: 1538209267
Provider Name (Legal Business Name): DEBORAH MYRRH ALLEN M.ED., MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 INMAN ST
CAMBRIDGE MA
02139-1212
US

IV. Provider business mailing address

83 INMAN ST
CAMBRIDGE MA
02139-1212
US

V. Phone/Fax

Practice location:
  • Phone: 617-864-3531
  • Fax:
Mailing address:
  • Phone: 617-864-3531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: