Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 240062 | MA |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 240062 | MA |
N | 207NS0135X | Procedural Dermatology | 240062 | MA |
N | 207NS0135X | Procedural Dermatology | LL30974 | SC |
NPI | 1326209560 |
---|---|
Provider Name | Dr. Carin Litani |
First Address | Wellesley Hills, MA 02481-2118 |
Second Address | Wellesley Hills, MA 02481-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 30/05/2012 |