MALKA LEAH FORMAN
Student in an Organized Health Care Education/Training Program

Address: 145 Harrison Ave, Boston, MA 02111-1802

MALKA LEAH FORMAN (NPI# 1013596477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013596477
Entity Type Individual
Full Name MALKA LEAH FORMAN
Gender Female
Practice Address 145 Harrison Ave
Boston
MA 02111-1802
Practice Telephone 6176366568
Mailing Address 145 Harrison Ave
Boston
MA 02111-1802
Mailing Telephone 8572250576
Certification Date 2021-04-05
Enumeration Date 2021-04-05
Last Update Date 2021-04-05
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 145 HARRISON AVE
City BOSTON
State MA
Zip Code 02111-1802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205416336 Haya Raef Student in an Organized Health Care Education/Training Program 145 Harrison Ave, Boston, MA 02111-1802 2021-04-13
1568041077 Grace R Leu Student in an Organized Health Care Education/Training Program 145 Harrison Ave, Boston, MA 02111-1802 2021-04-03
1285242776 Nolan Duffy Physician Assistant 145 Harrison Ave, Boston, MA 02111-1802 2020-07-21
1255950010 Rachel Wambach Student in an Organized Health Care Education/Training Program 145 Harrison Ave, Boston, MA 02111-1802 2020-04-13
1639705981 Gregg Miller Student in an Organized Health Care Education/Training Program 145 Harrison Ave, Boston, MA 02111-1802 2020-03-18
1215563010 Robert Ryan Bradshaw Student in an Organized Health Care Education/Training Program 145 Harrison Ave, Boston, MA 02111-1802 2020-03-13
1952936734 Diana Alexandra Aponte Colon Student in an Organized Health Care Education/Training Program 145 Harrison Ave, Boston, MA 02111-1802 2020-03-11
1669007456 Nathanaelle Onyinyechi Ibeziako Clinic/Center - Student Health 145 Harrison Ave, Boston, MA 02111-1802 2020-03-11
1336771393 Zachary Erlichman Student in an Organized Health Care Education/Training Program 145 Harrison Ave, Boston, MA 02111-1802 2020-02-07
1437622289 Elizabeth Huebner Physician Assistant 145 Harrison Ave, Boston, MA 02111-1802 2019-01-04
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-Hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1346850187 Meng Zhang Nutritionist 145 South Street, Wic/Nutrition Department, Boston, MA 02111 2020-08-06
1134745243 Alireza Darnahal Student in an Organized Health Care Education/Training Program Tufts University School of Dental Medicine, Boston, MA 02111 2020-06-24
1275157497 Stephen Houran Behnke Psychologist - Clinical Massachusetts Mental Health Center, 75 Fenwood Road, Boston, MA 02111 2020-06-03
1548883465 Elizabeth Carter Stapleton Dentist - Orthodontics and Dentofacial Orthopedics Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist - Orthodontics and Dentofacial Orthopedics 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
Find all providers in zip 02111

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154902757 Muhammad Ibrahim Akbar · Abraham Akbar Student in an Organized Health Care Education/Training Program 55 Fruit St # 2622, Boston, MA 02114-2621 2021-04-16
1417538117 Kennedy Zaccheo Student in an Organized Health Care Education/Training Program 265 Clarendon St Apt 4, Boston, MA 02116-2012 2021-04-15
1871173625 Furkan Yigitbilek Student in an Organized Health Care Education/Training Program 800 Washington St # 115, Boston, MA 02111-1552 2021-04-14
1669052494 Gina Lee Student in an Organized Health Care Education/Training Program 72 E Concort St, Robinson Building 4th Floor Room 4700, Boston, MA 02118 2021-04-14
1699355461 Ajisa Liti Student in an Organized Health Care Education/Training Program 1340 Boylston St Fl 6, Boston, MA 02215-4302 2021-04-14
1457931412 Emily Farrell Student in an Organized Health Care Education/Training Program 3 Judge St, Boston, MA 02120-3359 2021-04-13
1013597616 Olivia Karcis Student in an Organized Health Care Education/Training Program 330 Brookline Ave Ste 306, Boston, MA 02215-5400 2021-04-09
1811577414 David Anthony Klodowski Student in an Organized Health Care Education/Training Program 1 Deaconess Rd Bldg Suite306, Boston, MA 02215-5321 2021-04-09
1184203093 Anna-Kay Kerry Thompson Student in an Organized Health Care Education/Training Program 732 Harrison Ave Fl 5, Boston, MA 02118-2365 2021-04-07
1043899974 Kristen Nicole Lange Student in an Organized Health Care Education/Training Program 635 Albany Street, Boston, MA 02118 2021-04-07
Find all providers in BOSTON

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City BOSTON
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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