Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 227488 | MA |
NPI | 1043229180 |
---|---|
Provider Name | Mari M Nakamura |
First Address | Jamaica Plain, MA 02130-2131 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 10/12/2009 |