Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 281822 | MA |
NPI | 1013228022 |
---|---|
Provider Name | Abraham Cohen Bucay |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114-2752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 24/02/2020 |