Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 51007 | MA |
N | 111NI0900X | Internist | 51007 | MA |
N | 207RA0201X | Internist - Allergy & Immunology | 51007 | MA |
N | 207RC0200X | Critical Care Medicine | 51007 | MA |
Y | 207RP1001X | Pulmonary Disease | 51007 | MA |
NPI | 1538145354 |
---|---|
Provider Name | Helen M Hollingsworth |
First Address | Boston, MA 02118-2371 |
Second Address | Boston, MA 02118-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 29/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110064010 A | (05) | MA |
A56772 | (02) | MA |