Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 271245 | MA |
NPI | 1417295866 |
---|---|
Provider Name | Dr. Sonali Malhotra |
First Address | Boston, MA 02114-2517 |
Second Address | Boston, MA 02114-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2013 |
Last Update Date | 20/09/2017 |