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Ika Noviawaty, MD
Neurology Physician in Boston, Massachusetts
NPI 1265675292

Ika Noviawaty is a Neurology Physician based in Boston, MA and is specialized in Neurology. Ika Noviawaty practices in Boston, MA and has the professional credentials of MD. The NPI Number for Ika Noviawaty is 1265675292 and holds a License No. 265068 (Massachusetts).

The current practice location address for Ika Noviawaty is 725 Albany Street, Suite 7B, Boston, MA and can be reached out via phone at 617-638-8456 and via fax at 617-638-8465. You can also correspond with Ika Noviawaty through the mailing address at 960 MASSACHUSETTS AVENUE, BOSTON, MA - 02118 (mailing address contact number: ).

Location: 725 Albany Street, Suite 7B, Boston, MA, 02118
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Provider Profile Details
NPI Number
1265675292
Provider Name
Ika Noviawaty
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
725 Albany Street, Suite 7B, Boston, MA, 02118
Phone Number
617-638-8456
Fax Number
617-638-8465
Provider Enumeration Date
04/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110108436A 05 MA
institution
Provider Business Practice Location Address Details
Address
725 Albany Street, Suite 7B
City
State
Zip
02118
Phone Number
617-638-8456
Fax Number
617-638-8465
person
Provider Business Mailing Address Details
Address
725 Albany Street, Suite 7B
City
State
Zip
02118
Phone Number
617-638-8456
Fax Number
617-638-8465
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Epilepsy
Taxonomy
License No.
265068 (Massachusetts)
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.<br/>
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
265068 (Massachusetts)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
License No.
265068 (Massachusetts)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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