Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 17802 | MA |
NPI | 1033580311 |
---|---|
Provider Name | Dr. Anne Todd |
First Address | Boxford, MA 01921-1300 |
Second Address | North Andover, MA 01845-2832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2015 |
Last Update Date | 13/10/2015 |