Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 232989 | MA |
N | 111NI0900X | Internist | 232989 | MA |
Y | 207RH0003X | Hematology & Oncology | 232989 | MA |
NPI | 1033106695 |
---|---|
Provider Name | Francis Nugent |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 31/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110077549A | (05) | MA |