Individual
MIHOKO TANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119-4401
(617) 414-2080
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1013793
MA
Other
Enumeration date
03/24/2020
Last updated
07/19/2023
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