Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 203357 | MA |
NPI | 1053340950 |
---|---|
Provider Name | Senada Arabelovic |
First Address | Milton, MA 02186-3317 |
Second Address | Plymouth, MA 02360-4844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H92658 | (02) | MA |