Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 229757 | MA |
N | 111NI0900X | Internist | 229757 | MA |
Y | 207RX0202X | Medical Oncology | 229757 | MA |
NPI | 1164536066 |
---|---|
Provider Name | Joseph Pearlberg |
First Address | Jamaica Plain, MA 02130-2596 |
Second Address | Boston, MA 02115-5701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 26/10/2009 |