Provider Demographics
NPI:1821720723
Name:HANDLER, MIRIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIEL
Middle Name:
Last Name:HANDLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BABCOCK ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5911
Mailing Address - Country:US
Mailing Address - Phone:857-390-7457
Mailing Address - Fax:
Practice Address - Street 1:28 BABCOCK ST APT 3
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5911
Practice Address - Country:US
Practice Address - Phone:857-390-7457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2920172085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging