Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 228205 | MA |
N | 111NI0900X | Internist | 228205 | MA |
Y | 207RH0003X | Hematology & Oncology | 228205 | MA |
N | 207RH0003X | Hematology & Oncology | LT-3300 | NH |
NPI | 1033225990 |
---|---|
Provider Name | Dr. Saritha Bolla |
First Address | Winchester, MA 01890 |
Second Address | Winchester, MA 01890 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 29/03/2017 |