Individual
DR. TOBIAS LODDENKEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 9, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, FEGAN 9, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.006941
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
57.006941
OH
2084N0600X
Clinical Neurophysiology Physician
57.006941
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155958
—
MA
Enumeration date
04/16/2008
Last updated
09/12/2008
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