Individual
MIZUKI NISHINO HATABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-8098
(617) 525-7333
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 667-3532
(617) 525-7333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
234070
MA
Other
Enumeration date
10/02/2007
Last updated
09/12/2012
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