Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301097348 | MI |
N | 111NI0900X | Internist | 4301097348 | MI |
Y | 207RH0002X | Hospice and Palliative Medicine | 254982 | MA |
NPI | 1306150842 |
---|---|
Provider Name | Dr. Charlotta Lindvall |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2010 |
Last Update Date | 23/04/2014 |