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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 Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MAMI A IWAMOTO · (Female)

NPI Number 1942281696
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2005
Last updated 01/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 75264
  • MA Medicaid 3093573
  • MA Other J12251 BCBS MA
  • MA Other 730505 TUFTS HEALTH PLAN
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
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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