1609048677 NPI number — PROF. MARGARET ANN NAESER LIC.AC.

Table of content: PROF. MARGARET ANN NAESER LIC.AC. (NPI 1609048677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609048677 NPI number — PROF. MARGARET ANN NAESER LIC.AC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAESER
Provider First Name:
MARGARET
Provider Middle Name:
ANN
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
LIC.AC.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609048677
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 WHITTIER PL
Provider Second Line Business Mailing Address:
UNIT 19-C
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02114-1402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-720-4448
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 WHITTIER PL
Provider Second Line Business Practice Location Address:
UNIT 19-C
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114-1402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-720-4448
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  17 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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