Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 257682 | MA |
NPI | 1174784045 |
---|---|
Provider Name | Dr. Priyal A Amin |
First Address | Westford, MA 01886-3115 |
Second Address | Westford, MA 01886-3115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 24/02/2015 |