Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 230326 | MA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 230326 | MA |
NPI | 1609840461 |
---|---|
Provider Name | Stephanie Patel |
First Address | Danvers, MA 01923-2764 |
Second Address | Danvers, MA 01923-2764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 07/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H70100 | (02) | MN |