Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 160506 | MA |
NPI | 1023118684 |
---|---|
Provider Name | Dr. Deborah Jean Hoadley |
First Address | Longmeadow, MA 01106-1761 |
Second Address | Longmeadow, MA 01106-1761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B65120 | (02) | MA |