Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 160165 | MA |
NPI | 1083653737 |
---|---|
Provider Name | Dina Hulsizer Galvin |
First Address | Duxbury, MA 02332-4537 |
Second Address | Plymouth, MA 02360-4060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 26/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0108278 | (05) | MA |
G77117 | (02) |