Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 11791 | NH |
N | 207V00000X | Obstetrician & Gynecologist | 60696 | MA |
N | 207VX0201X | Gynecologic Oncologist | 11791 | NH |
Y | 207VX0201X | Gynecologic Oncologist | 60696 | MA |
NPI | 1144387432 |
---|---|
Provider Name | Valena J Wright |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110046418A | (05) | MA |
30204852 | (05) | NH |
E22230 | (02) | MA |