Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 274485 | MA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 274485 | MA |
NPI | 1013302736 |
---|---|
Provider Name | Rebecca Aures |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 13/08/2018 |