Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 22209 | MA |
NPI | 1043475056 |
---|---|
Provider Name | Rita K Han |
First Address | Boston, MA 02111-3228 |
Second Address | Boston, MA 02115-5819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2008 |
Last Update Date | 20/07/2008 |