Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 243223 | MA |
Y | 2084N0402X | Child Neurologist | 250380 | MA |
NPI | 1073820247 |
---|---|
Provider Name | Tatiana K Filina |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2010 |
Last Update Date | 03/10/2016 |