Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 22264 | NE |
Y | 2080P0205X | Pediatric Endocrinologist | 22264 | NE |
NPI | 1477503647 |
---|---|
Provider Name | Horacio B Plotkin |
First Address | Cambridge, MA 02142-1108 |
Second Address | Cambridge, MA 02142-1108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 07/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47078557565 | (05) | NE |
H70908 | (02) | NE |