Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 254428 | MA |
Y | 2080P0201X | Pediatric Allergist | 254428 | MA |
NPI | 1033433891 |
---|---|
Provider Name | Dr. Craig Daniel Platt |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2010 |
Last Update Date | 28/04/2016 |