Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
MARK PUDER M.D.
Gender: MALE
NPI: 1285671875
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Last Updated: | 2012-12-28 | ||
| Certification Date: |
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285671875 | ||||||||
| Enumeration Date | 2006-06-01 | ||||||||
| NPI Type | 1 - Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address |
300 LONGWOOD AVENUE, 3RD FLOOR FEGAN BUILDING
BOSTON CHILDREN'S HOSPITAL
BOSTON, MA 02115 United States Phone: 617-355-1838 | Fax: View Map 
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| Primary Practice Address |
300 LONGWOOD AVE/FEGAN 3
CHILDREN'S HOSPITAL
BOSTON, MA 02115 United States Phone: 617-355-3038 | Fax: View Map
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