Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 266203 | MA |
Y | 2086S0127X | Trauma Surgeon | 266203 | MA |
NPI | 1013158021 |
---|---|
Provider Name | Charles Statter Parsons |
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 | 20/03/2009 |
Last Update Date | 11/01/2017 |