| NPI | 1154306900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYEDA A AWAIS Md Sole Proprietor 508-595-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 79722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |