Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080A0000X | Adolescent Medicine | 159990 | MA |
N | 2084N0400X | Neurologist | 159990 | MA |
Y | 2084N0402X | Child Neurologist | 159990 | MA |
NPI | 1124046982 |
---|---|
Provider Name | Dr. Anna Minster |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3208249 | (05) | MA |
H21696 | (02) | MA |