Individual
DR. ASUMA TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 414-5520
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
286828
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110175847A
—
MA
Enumeration date
04/18/2017
Last updated
12/13/2023
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