Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 25873 | MA |
Y | 213ES0000X | Sports Medicine | 25873 | MA |
NPI | 1295491819 |
---|---|
Provider Name | Juliana Rosemary Noce |
First Address | Woburn, MA 01801-1900 |
Second Address | Woburn, MA 01801-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2021 |
Last Update Date | 09/11/2021 |