Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 253056 | MA |
NPI | 1013170505 |
---|---|
Provider Name | Dr. Anju T Nayar |
First Address | Burlington, MA 01803-3766 |
Second Address | Burlington, MA 01803-3766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2008 |
Last Update Date | 15/01/2014 |