Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 229289 | MA |
N | 111NI0900X | Internist | 229289 | MA |
Y | 207RH0000X | Hematologist | 253456 | MA |
NPI | 1417168055 |
---|---|
Provider Name | Mrs. Salvia Sanjay Jain |
First Address | Waban, MA 02468-2018 |
Second Address | Boston, MA 02114-2696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 30/09/2021 |