Individual
DR. MEDIATRIX MBAMALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVE FL 6, BOSTON, MA 02118-4001
(617) 414-6335
Mailing address
801 ALBANY ST FL 1, BOSTON, MA 02119-3791
(617) 414-6335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
275095
MA
Other
Enumeration date
08/20/2008
Last updated
02/28/2021
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