Individual
MARK PUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE/FEGAN 3, CHILDREN'S HOSPITAL, BOSTON, MA 02115
(617) 355-3038
Mailing address
300 LONGWOOD AVENUE, 3RD FLOOR FEGAN BUILDING, BOSTON CHILDREN'S HOSPITAL, BOSTON, MA 02115
(617) 355-1838
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
73855
MA
Other
Enumeration date
06/01/2006
Last updated
12/11/2023
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