Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 279550 | MA |
NPI | 1003476607 |
---|---|
Provider Name | Dr. Devon E. Abt |
First Address | Boston, MA 02215-5491 |
Second Address | Boston, MA 02215-5491 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2019 |
Last Update Date | 06/05/2020 |