Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 73194 | MA |
Y | 208000000X | Pediatrician | 73194 | MA |
NPI | 1073671327 |
---|---|
Provider Name | Dr. Dina S Guyetsky |
First Address | Billerica, MA 01821 |
Second Address | Billerica, MA 01821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 21/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3086518 | (05) | MA |
700619 | (02) |