Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 268748 | MA |
Y | 213ES0000X | Sports Medicine | 268748 | MA |
NPI | 1497044770 |
---|---|
Provider Name | Ashwin Naidu Babu |
First Address | Boston, MA 02114-2743 |
Second Address | Newark, NJ 07103-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 28/10/2016 |