Individual
NICOLA JOY SMITH KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
223 CHIEF JUSTICE CUSHING HWY, SUITE 201, COHASSET, MA 02025-1391
(781) 383-8380
Mailing address
223 CHIEF JUSTICE CUSHING HWY, SUITE 201, COHASSET, MA 02025-1391
(781) 383-8380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
235642
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
235642
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607592
SMS
MA
Enumeration date
07/18/2007
Last updated
01/17/2022
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