Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 213644 | MA |
Y | 208600000X | Surgeon | 213644 | MA |
N | 2086X0206X | Surgical Oncologist | 213644 | MA |
NPI | 1033201462 |
---|---|
Provider Name | Holly S Mason |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01107-1179 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 18/01/2018 |