Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 247377 | MA |
NPI | 1003080151 |
---|---|
Provider Name | Agnieszka Nicora |
First Address | Springfield, MA 01199-1619 |
Second Address | Springfield, MA 01199-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2008 |
Last Update Date | 13/07/2011 |