NPI | 1154306900 |
---|---|
Entity Type | Organization |
Authorized Contact | SYEDA A AWAIS Md Sole Proprietor 508-595-0531 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 79722) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2025-09-11 |