Individual
QI CUI OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-3384
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
239958
MA
Other
Enumeration date
02/27/2007
Last updated
08/18/2020
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