Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 213550 | MA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 213550 | MA |
N | 2080P0214X | Pediatric Pulmonologist | 213550 | MA |
NPI | 1235223959 |
---|---|
Provider Name | Eman Ansari |
First Address | Newton, MA 02459-2872 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 10/11/2020 |