Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 239778 | MA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 239778 | MA |
NPI | 1023144755 |
---|---|
Provider Name | Arnold Bandolon Alqueza |
First Address | Boston, MA 02130 |
Second Address | Boston, MA 02130-4817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 13/04/2018 |