Jacqueline Maya, MD
Pediatrics, Pediatric Endocrinology in Boston, MA. Individual provider (NPI-1).
NPI number1083147151
StatusActive
Last updated in NPPESAug 31, 2023
Details
- NPI
- 1083147151
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Maya
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2017
- Certification date
- Aug 31, 2023
- Last updated
- Aug 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0205X | Pediatrics, Pediatric Endocrinology | 1014595 | MA | Yes |
| 208000000X | Pediatrics | 1014595 | MA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2909
Mailing address
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2909
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