Individual
HOSANA MAMATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 DEACONESS RD BLDG 2ND, BOSTON, MA 02215-5321
(781) 366-2506
Mailing address
1 DEACONESS RD BLDG 2ND, BOSTON, MA 02215-5321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
279494
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110155781A
—
MA
Enumeration date
03/18/2019
Last updated
02/26/2025
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