Individual
DR. JELENA MIRKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., MD.
Contact information
Practice address
75 FRANCIS ST, BRIGHAM AND WOMENS'S HOSPITAL DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 335-4017
Mailing address
9 KNAPP STEET, #302, BOSTON, MA 02111
(617) 335-4017
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
249217
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100324921
BRIGHAM AND WOMEN'S HOSPITAL EMPLOYEE ID NUMBER
MA
Enumeration date
10/05/2012
Last updated
10/05/2012
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