Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 212312 | MA |
NPI | 1124082714 |
---|---|
Provider Name | Dr. Rebeca N Alvareza-Altalef |
First Address | Boston, MA 02111-1526 |
Second Address | Boston, MA 02111-1526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 24/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H50296 | (02) | MA |