Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 211643 | MA |
N | 207YP0228X | Pediatric Otolaryngology | 211643 | MA |
Y | 207YS0123X | Facial Plastic Surgeon | 211643 | MA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 211643 | MA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 211643 | MA |
NPI | 1538157987 |
---|---|
Provider Name | William Numa |
First Address | Winchester, MA 01890-1870 |
Second Address | Winchester, MA 01890-1870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 12/07/2009 |