Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 247335 | MA |
NPI | 1104195981 |
---|---|
Provider Name | Kshitij Chaudhary |
First Address | Brookline, MA 02445 |
Second Address | Brookline, MA 02445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2011 |
Last Update Date | 22/12/2011 |