Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 224419 | MA |
N | 111NI0900X | Internist | 224419 | MA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 224419 | MA |
NPI | 1033166780 |
---|---|
Provider Name | Angela M Restrepo |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 12/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2138191 | (05) | MA |