Individual
MS. JANET S PROTIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4199 WASHINGTON ST, ROSLINDALE, MA 02131
(617) 323-4440
(617) 323-7870
Mailing address
4199 WASHINGTON ST, ROSLINDALE, MA 02131
(617) 323-4440
(617) 323-7870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
81601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202221BMC
HARVARD PILGRIM
—
05
—
3206564
—
MA
01
—
J22092
BC
—
Enumeration date
01/13/2006
Last updated
08/17/2010
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