Provider Demographics
NPI:1821273723
Name:RIBEIRO, MONIQUE V (MD)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:V
Last Name:RIBEIRO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:333 LONGWOOD AVE
Mailing Address - Street 2:ROOM 549
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5711
Mailing Address - Country:US
Mailing Address - Phone:617-355-7040
Mailing Address - Fax:617-730-0199
Practice Address - Street 1:333 LONGWOOD AVE
Practice Address - Street 2:ROOM 549
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5711
Practice Address - Country:US
Practice Address - Phone:617-355-7040
Practice Address - Fax:617-730-0199
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2013-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2510782084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry