| NPI | 1619969920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH ESSANDOH PAINTSIL President 617-414-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine | |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases | |
| 2080P0214X Pediatrics Pediatric Pulmonology | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2023-12-20 |