Individual
DR. MIMI W THEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
US DEPT OF STATE M/MED/QM SA-1, WASHINGTON, DC 20522-2006
(617) 680-4168
Mailing address
US DEPT OF STATE M/MED/QM SA-1, WASHINGTON, DC 20522-0102
(617) 680-4168
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD045795
DC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD045795
DC
Other
Enumeration date
01/11/2006
Last updated
11/28/2024
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