Doctor Name: | JOANNA LYNN D'AFFLITTI |
NPI Number: | 1245432434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | LP01095 |
Business Practice Address: | 725 Albany Street Shapiro 5 & 6 Boston, MA - 02118 |
Business Phone Number: | 6174145951 |
Business Fax Number: | 6714149201 |
Mailing Address: | 720 Harrison Ave, Dob 503 BOSTON |
State: | MA |
Postal Code: | 02118 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 12/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | LP01095 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |