Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 157187 | MA |
N | 2080P0214X | Pediatric Pulmonologist | 157187 | MA |
NPI | 1679650303 |
---|---|
Provider Name | Dr. Claudia L Ordonez |
First Address | Boston, MA 02215-2816 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3180700 | (05) | MA |
G74671 | (02) |