Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 213251 | MA |
NPI | 1437362993 |
---|---|
Provider Name | Dr. Caroline Anne Mcfadden |
First Address | Boston, MA 02109-4806 |
Second Address | Somerville, MA 02144-2705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 23/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2144077 | (05) | MA |