Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT202150 | PA |
N | 208600000X | Surgeon | MT202150 | PA |
Y | 2086S0102X | Surgical Critical Care | 271058 | MA |
NPI | 1295086155 |
---|---|
Provider Name | Dr. Shari Nolana Reid |
First Address | Boston, MA 02120-3224 |
Second Address | Boston, MA 02118-2308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2012 |
Last Update Date | 02/11/2017 |