Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 247096 | MA |
Y | 2080P0205X | Pediatric Endocrinologist | 247096 | MA |
NPI | 1104086214 |
---|---|
Provider Name | Christina Mills Astley |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 29/04/2016 |