Organization
ASSOCIATES IN NEWBORN MEDICINE,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MAHMOOD-THIES (OFFICE ADMIN)
(651) 426-0698
Entity
Organization
Contact information
Practice address
347 SMITH AVE N, SUITE 505, SAINT PAUL, MN 55102-2387
(651) 426-0698
(651) 426-6439
Mailing address
1835 COUNTY ROAD C W STE 30, ROSEVILLE, MN 55113-1125
(651) 426-0698
(651) 426-6439
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407310000
—
MN
01
—
C03178
MEIDCARE GROUP NUMBER
MN
Enumeration date
12/11/2006
Last updated
01/16/2019
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