Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 49208 | MA |
N | 207RC0200X | Critical Care Medicine | 49208 | MA |
Y | 207RP1001X | Pulmonary Disease | 49208 | MA |
NPI | 1003891151 |
---|---|
Provider Name | Elliot Israel |
First Address | Needham, MA 02494-2829 |
Second Address | Brookline, MA 02445-6002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 09/04/2020 |