Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 78092 | MA |
NPI | 1497717763 |
---|---|
Provider Name | Dr. Jocelyn Sicat |
First Address | Salem, MA 01970-2738 |
Second Address | Salem, MA 01970-2738 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 02/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042740173 | (05) | MA |