Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 4301501025 | MI |
NPI | 1003194309 |
---|---|
Provider Name | Dr. James A. Pierre JR. |
First Address | Boston, MA 02114-2941 |
Second Address | Boston, MA 02114-2941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2011 |
Last Update Date | 07/09/2021 |