Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 53725 | MA |
NPI | 1023008257 |
---|---|
Provider Name | Paul Richard Conlin |
First Address | Boston, MA 02115-5804 |
Second Address | Boston, MA 02115-5804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 08/07/2007 |