Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 229106 | MA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 229106 | MA |
NPI | 1730308974 |
---|---|
Provider Name | Sonia Ranganath Adams |
First Address | Brighton, MA 02135-2907 |
Second Address | Brighton, MA 02135-2907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 05/02/2019 |