Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 244736 | MA |
NPI | 1386956605 |
---|---|
Provider Name | Dr. Bethany-Rose Daubman |
First Address | Boston, MA 02114-2752 |
Second Address | Boston, MA 02114-2752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 14/02/2014 |