National Provider Identifier Database

MAMI A IWAMOTO
Ophthalmic Plastic and Reconstructive Surgery

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.


Contact Information

MAMI A IWAMOTO
50 STANIFORD ST
SUITE 600
BOSTON, MA02114-2517
Phone: 617-367-4800
Fax: 617-723-7028
Website:
Specialty Taxonomy Code
* Ophthalmic Plastic and Reconstructive Surgery 207WX0200X
Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for MAMI A IWAMOTO

NPI Number 1942281696
Credentials
Entity Individual
Enumeration date 11/09/2005
Last updated 01/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 75264
  • MA Medicaid: 3093573
  • MA Other: J12251 BCBS MA
  • MA Other: 730505 TUFTS HEALTH PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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