Individual
DR. MIHO JEAN TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 CAMBRIDGE ST FL 4, BOSTON, MA 02114-2743
(617) 726-7500
Mailing address
175 CAMBRIDGE ST FL 4, BOSTON, MA 02114-2743
(617) 726-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
279181
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
279181
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279181
BOARD OF REGISTRATION IN MEDICINE
MA
Enumeration date
01/31/2007
Last updated
06/18/2019
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