Unknown Individual – Anatomic Pathology Physician, NPI 1104808484

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Anatomic Pathology Physician. They hold a License No. 36342 (MA). The NPI Number for Unknown Individual is 1104808484

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104808484
Phone
Not provided
Address
PO BOX 415348
Deactivation Date
16 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    DEPARTMENT OF ANATOMIC PATHOLOGY

    WORCESTER, MA 016550002

    Phone: (508) 793-6100

    Fax: (508) 793-6110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02241)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1104808484 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Anatomic Pathology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Boston, Massachusetts for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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