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Organization

AMMA BOAA ASARE

Active
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Organization

AMMA BOAA ASARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMMA ASARE PMHNP (NP)
(774) 922-2350
Entity
Organization

Contact information

Practice address
12 MCINTYRE RD, CHARLTON, MA 01507-5124
(774) 922-2350
Mailing address
12 MCINTYRE RD, CHARLTON, MA 01507-5124
(774) 922-2350

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
06/29/2026
Last updated
10/13/2026
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