Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 271931 | MA |
Y | 111NI0900X | Internist | 271931 | MA |
NPI | 1003344037 |
---|---|
Provider Name | Rebecca Zon |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2017 |
Last Update Date | 03/06/2017 |