Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 74718 | MA |
N | 207RH0003X | Hematology & Oncology | MD11666 | RI |
N | 207RX0202X | Medical Oncology | 74718 | MA |
NPI | 1124029376 |
---|---|
Provider Name | Richard Paul Junghans |
First Address | Boston, MA 02111-1552 |
Second Address | Boston, MA 02111-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 30/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
29541 | BLUE CROSS OR RI (01) | RI |
412590 | BLUE CHIP OF RI (01) | RI |
7057551 | (05) | RI |
E91798 | (02) | RI |