Provider Demographics
NPI:1124075387
Name:ERKAN, MUGE M (MD)
Entity type:Individual
Prefix:
First Name:MUGE
Middle Name:M
Last Name:ERKAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:103 GARLAND STREET
Mailing Address - Street 2:PULMONARY ASSOC. BOSTON
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149
Mailing Address - Country:US
Mailing Address - Phone:617-389-4666
Mailing Address - Fax:
Practice Address - Street 1:103 GARLAND STREET
Practice Address - Street 2:PULMONARY ASSOC. BOSTON
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149
Practice Address - Country:US
Practice Address - Phone:617-389-4666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA154364207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110058867AMedicaid