Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 220652 | MA |
NPI | 1063691517 |
---|---|
Provider Name | Marta Ramon Krauel |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2007 |
Last Update Date | 01/11/2007 |