Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 262611 | MA |
N | 111NI0900X | Internist | 262611 | MA |
N | 207R00000X | Internist | MT202306 | PA |
N | 111NI0900X | Internist | MT202306 | PA |
Y | 207RP1001X | Pulmonary Disease | 262611 | MA |
NPI | 1023370731 |
---|---|
Provider Name | Paul Sonenthal |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2012 |
Last Update Date | 30/07/2019 |