Individual
MR. COURTNEY SULLIVAN FRATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, HUNNEWELL BUILDING 322, BOSTON, MA 02115-5724
(857) 218-4085
Mailing address
26 EDENFIELD AVE, WATERTOWN, MA 02472-3629
(617) 620-4032
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN262019
MA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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