Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 251630 | MA |
N | 111NI0900X | Internist | 251630 | MA |
Y | 207RX0202X | Medical Oncology | 277213 | MA |
NPI | 1063774412 |
---|---|
Provider Name | Megan Leigh Insco |
First Address | Boston, MA 02215-5418 |
Second Address | Boston, MA 02215-5418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2012 |
Last Update Date | 21/12/2018 |