Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 222537 | MA |
NPI | 1003875956 |
---|---|
Provider Name | Aneesh T Narang |
First Address | Boston, MA 02241-0001 |
Second Address | Boston, MA 02118-2908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 05/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2103150 | (05) | MA |
462312 | TUFTS (01) | MA |
I36645 | (02) | MA |
J28731 | BCBS (01) | MA |