Provider Demographics
NPI:1952589590
Name:UHLMANN, ERIK JANOS
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:JANOS
Last Name:UHLMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-1665
Mailing Address - Fax:617-667-1664
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:KIRSTEN 406
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-1665
Practice Address - Fax:617-667-1664
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004030349207ZP0105X
MA2396882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine