Individual
TALIA AHUVA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 SYLVAN ST STE B102, DANVERS, MA 01923-2764
(978) 774-7566
Mailing address
75 SYLVAN ST STE B102, DANVERS, MA 01923-2764
(978) 774-7566
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
260181
MA
390200000X
Student in an Organized Health Care Education/Training Program
260181
MA
Other
Enumeration date
06/09/2014
Last updated
03/02/2020
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