Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 80096 | MA |
NPI | 1003872227 |
---|---|
Provider Name | Neeraj Kohli |
First Address | Wellesley, MA 02481-2102 |
Second Address | Wellesley, MA 02481-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 22/02/2012 |