Individual
MRS. MARY M EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
36 WHITE ST, CAMBRIDGE, MA 02140-1449
(617) 876-5519
Mailing address
36 WHITE ST, CAMBRIDGE, MA 02140-1449
(617) 876-5519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
285251
MA
Other
Enumeration date
11/30/2007
Last updated
07/11/2011
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