Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DF11291 | MA |
N | 1223E0200X | Endodontist | DF11518 | MA |
Y | 1223E0200X | Endodontist | DN1858907 | MA |
NPI | 1073022711 |
---|---|
Provider Name | Dr. Elinor Alon |
First Address | Boston, MA 02111 |
Second Address | Boston, MA 02111-1527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2017 |
Last Update Date | 16/03/2021 |