Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 219553 | MA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 219553 | MA |
NPI | 1073686226 |
---|---|
Provider Name | Katherine A Janeway |
First Address | Melrose, MA 02176-4837 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 17/05/2016 |