Individual
JOHN MIGNANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
750 WASHINGTON ST, NEW ENGLAND MEDICAL CENTER, BOSTON, MA 02111-1526
(617) 636-6161
Mailing address
750 WASHINGTON ST, NEW ENGLAND MEDICAL CENTER, BOSTON, MA 02111-1526
(617) 636-6161
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MA157614
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012875
NEIGHBORHOOD HLTH PLAN
MA
01
—
157614
TUFTS HEALTH PLAN
MA
01
—
2400030
UNITED HEALTHCARE
MA
05
—
3181545
—
MA
01
—
83-240708NEMC
HARVARD PILGRIM
MA
01
—
920007202
RAILROAD MEDICARE
MA
01
—
J18885
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/25/2006
Last updated
03/08/2012
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