Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 246994 | MA |
N | 207VG0400X | Gynecologist | 7159 | NH |
NPI | 1144389040 |
---|---|
Provider Name | Dr. Cynthia Ann Rasmussen |
First Address | Boston, MA 02109-4806 |
Second Address | Burlington, MA 01803-4758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 14/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30004377 | (05) | NH |
DO3427 | (02) | NH |