Doctor Name: | MRS. PAMELA M VATH |
NPI Number: | 1447363395 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP APRN BC |
License Number: | 116482NP |
Business Practice Address: | 21 Main St Ste 2c Rheumatology & Internal Medicine Associates Pc N Reading, MA - 01864 |
Business Phone Number: | 9786641606 |
Business Fax Number: | 9786645316 |
Mailing Address: | 11 Duane Dr, NORTH READING |
State: | MA |
Postal Code: | 01864 |
Phone Number: | 9782760080 |
Fax Number: | 9782760090 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC0200X |
License Number: | 116482NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |