Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 37930 | MA |
NPI | 1003853680 |
---|---|
Provider Name | Mona S Kaddis |
First Address | Milford, MA 01757 |
Second Address | Milford, MA 01757-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 08/07/2007 |