NPI 1194716860 · live from the CMS NPI Registry
Marilyn C Augustyn, MD
Pediatrics, Developmental - Behavioral Pediatrics in Boston, MA. National Provider Identifier 1194716860, active.
NPI record
| NPI | 1194716860 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 850 Harrison Ave, Yacc5, Boston, MA 02118 |
| Practice phone | 617-414-4841 |
| Mailing address | 720 Harrison Ave, Dob 503, Boston, MA 02118 |
| Enumerated | November 2, 2005 |
| Last updated | July 3, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 75965 (MA) |
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | 75965 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.