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NPI Code Detail

MEDICARE: TATIANA K FILINA MD

MEDICARE: TATIANA K FILINA MD
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
1208000000XPediatrics Physician243223MA
22084N0402XNeurology with Special Qualifications in Child Neurology Physician250380MA
32080S0012XPediatric Sleep Medicine Physician250380MA

General Provider Information

NPI Number : 1073820247
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATIANA K FILINA MD
Provider Business Mailing Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-6000
Fax Number :
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 10/03/2016

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