Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | L-243792 | MA |
Y | 2082S0105X | Plastic Hand Surgeon | 265779 | MA |
NPI | 1679894950 |
---|---|
Provider Name | Carl M Harper |
First Address | Boston, MA 02215-5400 |
Second Address | Boston, MA 02215-5400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 14/11/2018 |