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Individual

ARIN L. MADENCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
266666
MA
2086S0102X
Surgical Critical Care Physician
266666
MA
2086S0120X
Pediatric Surgery Physician
Primary
266666
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110113267A
MA
05
3146732
NH
Enumeration date
04/16/2013
Last updated
12/04/2024
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