Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 2155 | MA |
NPI | 1043285646 |
---|---|
Provider Name | Dr. Jordana Lea Szpiro |
First Address | Boston, MA 02116-1236 |
Second Address | Boston, MA 02116-1236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 10/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U81878 | (02) | MA |