Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 258387 | MA |
N | 207Q00000X | Family Doctor | P7509 | TX |
NPI | 1003137217 |
---|---|
Provider Name | Dr. Hannah M. Coates |
First Address | Boston, MA 02241-5348 |
Second Address | Fitchburg, MA 01420-4541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 18/03/2021 |