Individual
MARIA ALEJANDRA DURAN-MENDICUTI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6506
(617) 732-6336
Mailing address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6506
(617) 732-6336
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
215930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177661
—
MA
01
—
215930
TUFTS HEALTH CARE
MA
01
—
J25383
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/16/2005
Last updated
07/08/2007
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