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Individual

DR. MIRA B IRONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, FEGAN 10, BOSTON, MA 02115-5724
(617) 355-4697
(617) 730-0788
Mailing address
CHILDREN'S HOSPITAL BOSTON, 300 LONGWOOD AVE., BOSTON, MA 02115
(617) 355-4697
(617) 730-0788

Taxonomy

Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
51067
MA
208000000X
Pediatrics Physician
51067
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3011400
MA
Enumeration date
04/18/2006
Last updated
08/15/2007
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