Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 217942 | MA |
NPI | 1053433045 |
---|---|
Provider Name | Dr. Adarsh Vasanth |
First Address | North Andover, MA 01845-1216 |
Second Address | North Andover, MA 01845-4143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 14/08/2012 |