Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 34521 | MA |
NPI | 1386676674 |
---|---|
Provider Name | Frank J Twarog |
First Address | Concord, MA 01742-2132 |
Second Address | Concord, MA 01742-2132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 03/04/2019 |