Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 240518 | MA |
N | 111NI0900X | Internist | 240518 | MA |
Y | 207RR0500X | Rheumatology | 240518 | MA |
NPI | 1053586784 |
---|---|
Provider Name | Maureen D. Dubreuil |
First Address | Boston, MA 02118 |
Second Address | Boston, MA 02118-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 07/05/2015 |