Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 285262 | MA |
NPI | 1083095137 |
---|---|
Provider Name | Alison Nelson |
First Address | Boston, MA 02118 |
Second Address | Boston, MA 02118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2015 |
Last Update Date | 21/12/2020 |