Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 226358 | MA |
N | 2081S0010X | Sports Medicine | 228358 | MA |
N | 213ES0000X | Sports Medicine | 228358 | MA |
NPI | 1184687568 |
---|---|
Provider Name | Dr. Ariana Jessica Vora |
First Address | Charlestown, MA 02129-9142 |
Second Address | Wellesley, MA 02481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 17/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2109336 | (05) | MA |
478758 | TUFTS HEALTH PLAN (01) | MA |
I39828 | (02) | |
J29047 | BCBS MA (01) | MA |