Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 40369 | MA |
NPI | 1023101474 |
---|---|
Provider Name | Asha Saxena |
First Address | Burlington, MA 01803-3897 |
Second Address | Burlington, MA 01803-3897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 08/07/2007 |