Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 233160 | MA |
NPI | 1184817926 |
---|---|
Provider Name | Asha Thomas |
First Address | Springfield, MA 01199-1000 |
Second Address | Springfield, MA 01199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2007 |
Last Update Date | 11/04/2011 |