Individual
VICTORIA R LUONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
31 HORNE AVE, MEDFORD, MA 02155-1351
(781) 866-9118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2300740
MA
363L00000X
Nurse Practitioner
Primary
2300740
MA
Other
Enumeration date
10/02/2020
Last updated
09/16/2021
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