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Search › Massachusetts › 2084E0001X

Ika Noviawaty, M.D

NPI 1265675292 · on the registry since 2009

Practice

Address
725 Albany Street, Suite 7b
Shapiro Building
Boston, MA 02118
Phone
(617) 638-8456
Fax
(617) 638-8465
Organisation at this address
Trustees Of Boston University
Boston Medical Center Corporation
Boston Medical Center Corporation
Boston Medical Center Corporation
Boston University Dermatology, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
696

Registry record

Primary taxonomy
2084E0001X
2084E0001X
Also registered as
2084N0600X
2084N0400X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts