Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 77268 | MA |
NPI | 1003971730 |
---|---|
Provider Name | Dr. Edward Schurr Horton |
First Address | Brookline, MA 02446-2326 |
Second Address | Boston, MA 02215-5306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 29/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C65416 | (02) | MA |