Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 37751 | MA |
NPI | 1346212511 |
---|---|
Provider Name | Alfred I Tauber |
First Address | Boston, MA 02118-2656 |
Second Address | Boston, MA 02118-2656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2068745 | (05) | MA |
B97936 | (02) | MA |