Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 244088 | MA |
N | 111NI0900X | Internist | 244088 | MA |
Y | 207RN0300X | Nephrologist | 252503 | MA |
NPI | 1033439716 |
---|---|
Provider Name | Dr. Jeffrey Harrison William |
First Address | Boston, MA 02215-5332 |
Second Address | Boston, MA 02215-5332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 08/09/2015 |