Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 45311 | MA |
N | 111NI0900X | Internist | 45311 | MA |
Y | 207RH0000X | Hematologist | 45311 | MA |
NPI | 1295710341 |
---|---|
Provider Name | Dr. Rita A Blanchard |
First Address | Boston, MA 02118-4001 |
Second Address | Boston, MA 02118-2905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 17/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110001029A | (05) | MA |
D82823 | (02) | MA |