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Individual

MARA JOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CONSTITUTION PLZ, CHARLESTOWN, MA 02129-2025
(617) 724-5202
Mailing address
50 W BROADWAY APT 202, BOSTON, MA 02127-1141

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2314736
MA
363LF0000X
Family Nurse Practitioner
Primary
APRN01647
RI

Other

Enumeration date
08/15/2017
Last updated
12/01/2020
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