Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 273046 | MA |
NPI | 1538483003 |
---|---|
Provider Name | Caroline Cristina Nitschmann |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2010 |
Last Update Date | 23/05/2018 |