Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 40752 | MA |
NPI | 1124218268 |
---|---|
Provider Name | Melody L Craft |
First Address | Sudbury, MA 01776-1271 |
Second Address | Waltham, MA 02451-1121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 25/07/2007 |