Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 77984 | MA |
NPI | 1558327940 |
---|---|
Provider Name | Dr. Hijab Chaudhary |
First Address | Cambridge, MA 02138-5502 |
Second Address | Cambridge, MA 02138-5502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 09/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2090457 | (05) | MA |
I21270 | (02) | MA |