Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 36428 | MA |
NPI | 1104851286 |
---|---|
Provider Name | John G Krikorian |
First Address | Framingham, MA 01702-6327 |
Second Address | Framingham, MA 01702-6327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 30/10/2007 |