Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 38173 | MA |
NPI | 1063490431 |
---|---|
Provider Name | Dr. Geoffrey Kray Sherwood |
First Address | Boston, MA 02130-3446 |
Second Address | Boston, MA 02130-3446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 14/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4403877 | CIGNA (01) | MA |
9477 | HARVARD PILGRIM HEALTH CA (01) | MA |
9766553 | (05) | MA |
A66841 | (02) | MA |
V03176 | BLUE CROSS BLUE SHIELD (01) | MA |