Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 55760 | MA |
N | 111NI0900X | Internist | 55760 | MA |
Y | 207RX0202X | Medical Oncology | 55760 | MA |
NPI | 1063460087 |
---|---|
Provider Name | Dr. Adam Lerner |
First Address | Boston, MA 02118 |
Second Address | Boston, MA 02118-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 24/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110042901A | (05) | MA |
B74750 | (02) | MA |