Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 230453 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 230453 | MA |
NPI | 1568531606 |
---|---|
Provider Name | Dr. Robb D Kociol |
First Address | Boston, MA 02241-5348 |
Second Address | Boston, MA 02215-5412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 18/09/2018 |