Provider Demographics
NPI:1164057055
Name:MADANAT-HARJOUJA, LAURA-MARIA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:LAURA-MARIA
Middle Name:
Last Name:MADANAT-HARJOUJA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:LAURA-MARIA
Other - Middle Name:
Other - Last Name:MADANAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:DANA-FARBER CANCER INSTITUTE
Mailing Address - Street 2:450 BROOKLINE AVENUE, DANA-3, PEDIATRIC ONCOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5450
Mailing Address - Country:US
Mailing Address - Phone:617-838-2120
Mailing Address - Fax:617-632-4410
Practice Address - Street 1:450 BROOKLINE AVENUE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5450
Practice Address - Country:US
Practice Address - Phone:617-632-3270
Practice Address - Fax:617-632-4410
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program