MIRIAM N HERNANDEZ, Methadone BOSTON, MA

Contact Information

MIRIAM N HERNANDEZ

23 BRADSTON ST
BOSTON, MA 02118-2703

Phone: 617-318-6480
Fax: 617-427-1263
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Methadone	261QM2800X

Indicates primary specialty

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NPI Profile & details for MIRIAM N HERNANDEZ · (Female)

NPI #	`1700464849`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/30/2021
Last updated	03/30/2021 - About 5 years ago
Sole proprietor ¹	Yes
Identifiers	MA License # LN64374
Hospital affiliation(s)	Not Available

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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