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NPI Code Detail

MEDICARE: MELINDA FUTRAN

MEDICARE: MELINDA FUTRAN
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 Physician1019662MA

General Provider Information

NPI Number : 1710566120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA FUTRAN
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVE STE 2
Second Line :
City : BOSTON
State : MA
Zip : 02118-2690
Country : US
Telephone Number : 617-414-5405
Fax Number :
Provider Business Practice Location Address
First Line : 801 ALBANY ST FL 7
Second Line :
City : BOSTON
State : MA
Zip : 02119-2560
Country : US
Telephone Number : 617-414-5946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2021
Last Update Date : 07/01/2024

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Directions to “ MELINDA FUTRAN ” Practice Location

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