Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 281364 | NY |
NPI | 1013163153 |
---|---|
Provider Name | Ms. Marta Christov |
First Address | Newton, MA 02462-1627 |
Second Address | Newton, MA 02462-1627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2008 |
Last Update Date | 03/05/2021 |