Individual
MIRELA NICOLE POPA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 LINCOLN ST, NEEDHAM, MA 02492-2900
(781) 444-7186
(781) 449-4617
Mailing address
675A HAMMOND ST, CHESTNUT HILL, MA 02467-2117
(781) 444-7186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
205292
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108898
—
MA
01
—
205292
TUFTS
MA
01
—
3960917
AETNA
MA
01
—
AA16949
HPHC
MA
01
—
J22888
BCBS
MA
Enumeration date
06/10/2006
Last updated
07/08/2007
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