Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 81480 | MA |
N | 208600000X | Surgeon | 81480 | MA |
Y | 2086S0120X | Pediatric Surgery | 81480 | MA |
NPI | 1497780811 |
---|---|
Provider Name | Dr. Terry L Buchmiller |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 28/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3140628 | (05) | MA |