Vikki Louise Noonan
Oral and Maxillofacial Pathology
133 Brookline Ave 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path.
Boston
, Massachusetts 02215-3904
Vikki Louise Noonan
Oral and Maxillofacial Pathology
133 Brookline Ave 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path.
Boston
, Massachusetts 02215-3904
(617) 421-2423
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Vikki Louise Noonan
- 133 Brookline Ave 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path.
- Boston, MA
- Zip : 02215-3904
- Fax : (617) 421-2423
- Phone : (617) 421-2844
Second Address
- Vikki Louise Noonan
- 133 Brookline Ave 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path.
- Boston, MA
- Zip : 02215-3904
- Fax : (617) 421-2423
- Phone : (617) 421-2844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 19519 | MA |
National Provider Identifier
| NPI | 1619980745 |
|---|---|
| Provider Name | Vikki Louise Noonan |
| First Address | Boston, MA 02215-3904 |
| Second Address | Boston, MA 02215-3904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 24/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0203718 | (05) | MA |
| AA27554 | HARVARD PILGRIM (01) | |
| V02624 | (02) | |
| X09107 | BLUE CROSS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.