Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 233340 | MA |
Y | 2080P0216X | Pediatric Rheumatologist | 233340 | MA |
NPI | 1730349903 |
---|---|
Provider Name | Arturo Jose Borzutzky Schachter |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 11/06/2008 |