Individual
THERESA BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
101 MAIN ST STE 201, MEDFORD, MA 02155-4530
(781) 396-1288
Mailing address
101 MAIN ST STE 201, MEDFORD, MA 02155-4530
(781) 396-1288
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2331932
MA
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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