Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 52587 | MA |
NPI | 1003863796 |
---|---|
Provider Name | Dr. Andrew Ira Ober |
First Address | Salem, MA 01970-2723 |
Second Address | Salem, MA 01970-2723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 20/12/2021 |