Active NPIIndividual providerSole proprietor

Magdalena Ivanova, MD

Pediatrics in Brookline, Massachusetts

NPI Number1720547524
Practice location
637 Washington St Ste 202, Brookline, MA 02446-4579
Fax
—
Last updated
March 22, 2023

Magdalena Ivanova is a Pediatrics based in Brookline, MA. Magdalena Ivanova practices in Brookline, MA and has the professional credentials of MD. The NPI Number for Magdalena Ivanova is 1720547524 and holds a License No. 291387 (MA). The current practice location address for Magdalena Ivanova is 637 Washington St Ste 202, Brookline, MA 02446-4579 and can be reached out via phone at 617-232-2811.

Provider Profile Details

NPI Number
1720547524
Provider Name
Magdalena Ivanova
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
637 Washington St Ste 202, Brookline, MA 02446-4579
Phone Number
617-232-2811
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
March 19, 2019
Last Update Date
March 22, 2023
Certification Date
March 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
637 Washington St Ste 202
Brookline, MA 02446-4579
Zip
02446-4579
Phone Number
617-232-2811
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
8 Searle RD
Boston, MA 02132-3014
City
Boston
State
MA
Zip
02132-3014
Phone Number
224-388-9016

License Information

License Number
291387
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Magdalena Ivanova, MD?

The NPI number of Magdalena Ivanova, MD is 1720547524. It was assigned on March 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Magdalena Ivanova, MD?

Magdalena Ivanova, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 291387.

Where does Magdalena Ivanova, MD practice?

The practice location is 637 Washington St Ste 202, Brookline, MA 02446-4579. The office can be reached at 617-232-2811 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720547524 directly on the NPPES registry website.

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