Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 219233 | MA |
NPI | 1013995497 |
---|---|
Provider Name | Faina Nakhlis |
First Address | Boston, MA 02130-3446 |
Second Address | Boston, MA 02130-3446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 22/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2025264 | (05) | MA |
H99384 | (02) | MA |