Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 269449 | MA |
Y | 111NI0900X | Internist | 269449 | MA |
N | 207R00000X | Internist | 285095 | NY |
N | 111NI0900X | Internist | 285095 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 269449 | MA |
NPI | 1164811741 |
---|---|
Provider Name | Dr. Jean-Luc Noel |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01655-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2015 |
Last Update Date | 28/10/2020 |