Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 278492 | MA |
NPI | 1265990261 |
---|---|
Provider Name | Dr. Eduardo Alberto Vega Pizarro |
First Address | Boston, MA 02215-1711 |
Second Address | Boston, MA 02215-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2019 |
Last Update Date | 08/03/2019 |