Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 240176 | MA |
N | 2084N0600X | Clinical Neurophysiologist | 249767 | MA |
NPI | 1003146879 |
---|---|
Provider Name | Dr. Claus Reinsberger |
First Address | Brookline, MA 02445-6002 |
Second Address | Brookline, MA 02445-6002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2009 |
Last Update Date | 20/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003146879 | MEDICARE (01) | MA |