Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 52824 | MA |
NPI | 1013908391 |
---|---|
Provider Name | Paul S. Dunn |
First Address | Boston, MA 02241-5348 |
Second Address | Shrewsbury, MA 01545-3020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 22/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110057190A | (05) | MA |
B74592 | (02) | MA |