Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 74702 | MA |
NPI | 1033176359 |
---|---|
Provider Name | Barbara Ann Dworetzky |
First Address | Brookline, MA 02445-6002 |
Second Address | Brookline, MA 02445-6002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 30/04/2012 |