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Individual

BRONWYN KATE MASTRANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5500
Mailing address
45 RUTLAND ST, #4, BOSTON, MA 02118-1589
(617) 869-5111

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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