NPI 1396790788 · live from the CMS NPI Registry
Irina A. Anselm, M.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Boston, MA. National Provider Identifier 1396790788, active.
NPI record
| NPI | 1396790788 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 300 Longwood Ave, Fegan 11, Boston, MA 02115 |
| Practice phone | 617-355-2758 |
| Enumerated | May 23, 2006 |
| Last updated | August 27, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 152304 (MA) |
| Pediatrics | 208000000X | 152304 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.