Basic Information
Provider Information
NPI: 1588899504
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZETO
FirstName: WINNIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20 RESEARCH PL
Address2: STE 220
City: NORTH CHELMSFORD
State: MA
PostalCode: 018632455
CountryCode: US
TelephoneNumber: 6175625432
FaxNumber:  
Practice Location
Address1: 20 RESEARCH PL STE 220
Address2:  
City: NORTH CHELMSFORD
State: MA
PostalCode: 018632455
CountryCode: US
TelephoneNumber: 9784596737
FaxNumber: 8558181869
Other Information
ProviderEnumerationDate: 05/19/2009
LastUpdateDate: 07/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X266762MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X266762MAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


Home