Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 266120 | MA |
NPI | 1154720027 |
---|---|
Provider Name | Rubini Pathy |
First Address | Springfield, MA 01104-2330 |
Second Address | Springfield, MA 01104-2330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2014 |
Last Update Date | 17/03/2018 |