Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 266078 | MA |
Y | 111NI0900X | Internist | 266078 | MA |
N | 207RA0401X | Internist - Addiction Medicine | MD468967 | PA |
NPI | 1609119635 |
---|---|
Provider Name | Dr. Payel Jhoom Roy |
First Address | Boston, MA 02118-2307 |
Second Address | Boston, MA 02118-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2013 |
Last Update Date | 22/09/2020 |