Active NPIIndividual provider

Tina Banzon, MD

Pediatrics, Pediatric Allergy/Immunology in Boston, Massachusetts

NPI Number1821597253
Practice location
300 Longwood Ave, Boston, MA 02115-5724
Fax
—
Last updated
May 25, 2022

Tina Banzon is a Pediatrics, Pediatric Allergy/Immunology based in Boston, MA. Tina Banzon practices in Boston, MA and has the professional credentials of MD. The NPI Number for Tina Banzon is 1821597253 and holds a License No. 291994 (MA). The current practice location address for Tina Banzon is 300 Longwood Ave, Boston, MA 02115-5724 and can be reached out via phone at 617-355-6000.

Provider Profile Details

NPI Number
1821597253
Provider Name
Tina Banzon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Longwood Ave, Boston, MA 02115-5724
Phone Number
617-355-6000
Primary Taxonomy
Pediatrics, Pediatric Allergy/Immunology · 2080P0201X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2018
Last Update Date
May 25, 2022
Certification Date
May 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
Zip
02115-5724
Phone Number
617-355-6000
Boston, MA 02115Get directions →

Provider Business Mailing Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
State
MA
Zip
02115-5724

License Information

License Number
291994
License State
MA
Taxonomy
Pediatrics, Pediatric Allergy/Immunology · 2080P0201X · 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 Tina Banzon, MD?

The NPI number of Tina Banzon, MD is 1821597253. It was assigned on February 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Tina Banzon, MD?

Tina Banzon, MD is registered under the primary taxonomy Pediatrics, Pediatric Allergy/Immunology (code 2080P0201X), licensed in MA under license number 291994.

Where does Tina Banzon, MD practice?

The practice location is 300 Longwood Ave, Boston, MA 02115-5724. The office can be reached at 617-355-6000 (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 1821597253 directly on the NPPES registry website.

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