NPI 1073975579 · live from the CMS NPI Registry
Milena M Andzelm, M.D., Ph.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Boston, MA. National Provider Identifier 1073975579, active.
NPI record
| NPI | 1073975579 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 300 Longwood Ave, Boston, MA 02115 |
| Practice phone | 617-355-6000 |
| Enumerated | March 23, 2016 |
| Last updated | May 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 281732 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.