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DANA C MISKULIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 WASHINGTON ST, BOX 391, BOSTON, MA 02111-1552
(617) 636-5866
Mailing address
11 CHAPEL ST, SOMERVILLE, MA 02144-1901
(617) 628-0910

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
213820
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026924
NEIGHBORHOOD HEALTH PLAN
MA
01
04-2743894
UNICARE
MA
01
10322
HARVARD PILGRIM
MA
01
1454175002
CIGNA/HEALTHSOURCE PRATT
MA
01
213280
TUFTS
MA
01
2809283
AETNA/US HEALTHCARE
MA
01
31-00287
UNITED HEALTHCARE
MA
01
7356345
AETNA/US HEALTHCA NON-HMO
MA
05
A34171
MA
01
CIGNA SCP 5368325003
CIGNA SCP
MA
01
HCVM TAX ID# 04-2743
HCVM TAX ID# 04-2743894
MA
01
J24821
HMO BLUE / BLUE CARE ELEC
MA
Enumeration date
06/03/2006
Last updated
02/01/2013
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