Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 205829 | MA |
N | 111NI0900X | Internist | 205829 | MA |
N | 207RH0000X | Hematologist | 205829 | MA |
Y | 207RX0202X | Medical Oncology | 205829 | MA |
NPI | 1407847965 |
---|---|
Provider Name | Dr. Eyal C Attar |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 23/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2005620 | (05) | MA |
205829 | TUFTS HEALTH PLAN (01) | MA |
H84878 | (02) | |
J25981 | BCBS MA (01) | MA |