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
![]() |
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 ![]() |
||||||||
Primary Practice Address |
300 LONGWOOD AVE/FEGAN 3
CHILDREN'S HOSPITAL
BOSTON, MA 02115 United States Phone: 617-355-3038 | Fax: View Map ![]() |
||||||||
Health Information Exchange |
|
||||||||
Other Identifiers |
|
||||||||
Taxonomy |
|