Individual
AYAKA IWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3653
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3654
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
279328
MA
Other
Enumeration date
04/02/2014
Last updated
12/17/2021
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