Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 227300 | MA |
NPI | 1033177795 |
---|---|
Provider Name | Cecilia Tran Hurst |
First Address | Chestnut Hill, MA 02467-2116 |
Second Address | Chestnut Hill, MA 02467-2116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 19/12/2014 |