Provider Demographics
NPI:1700049137
Name:ERDEI, CARMINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMINA
Middle Name:
Last Name:ERDEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARMINA
Other - Middle Name:
Other - Last Name:ERDEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:#836
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-5196
Practice Address - Fax:617-636-8215
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA236677208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics