Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0204X | Pediatric Emergency Doctor | 242431 | NY |
Y | 2080P0204X | Pediatric Emergency Doctor | 254521 | MA |
NPI | 1225295652 |
---|---|
Provider Name | Carrie Danziger |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 28/02/2013 |