Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 125058594 | IL |
Y | 111NI0900X | Internist | 125058594 | IL |
N | 207RH0002X | Hospice and Palliative Medicine | 276532 | MA |
NPI | 1174844682 |
---|---|
Provider Name | Nelia Jain |
First Address | Boston, MA 02215-5418 |
Second Address | Boston, MA 02215-5418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 30/09/2020 |