Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 274802 | MA |
N | 208000000X | Pediatrician | P26520 | MD |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 274802 | MA |
NPI | 1124392022 |
---|---|
Provider Name | Maushumi Assad |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01605-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2012 |
Last Update Date | 30/03/2021 |