Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | D72533 | MD |
NPI | 1164680609 |
---|---|
Provider Name | Dr. Tanya Lee Brescia-Oddo |
First Address | Boston, MA 02241-8953 |
Second Address | Hunt Valley, MD 21031-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2008 |
Last Update Date | 23/06/2016 |