Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 206372 | NY |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 049383 | GA |
NPI | 1043652662 |
---|---|
Provider Name | Lemuel Becker Hewes |
First Address | Winchester, MA 01890-3536 |
Second Address | Cambridge, MA 02139-4229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2013 |
Last Update Date | 24/07/2013 |