Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 187316 | MA |
NPI | 1144280553 |
---|---|
Provider Name | Cynthia F Joslyn |
First Address | Worcester, MA 01608-1200 |
Second Address | Worcester, MA 01608-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0381331 | (05) | MA |
S28626 | (02) | MA |