Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 48979 | MA |
NPI | 1003822818 |
---|---|
Provider Name | Maureen E Paul |
First Address | Boston, MA 02215-1001 |
Second Address | Boston, MA 02215-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 21/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02989733 | (05) | NY |
B74502 | (02) | NY |