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Individual

CHARLENE M SYLVESTRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
830 HARRISON AVE, MOAKLEY, 3RD FLOOR, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
720 HARRISON AVE.,, DOB 503, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN211474
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110083505A
MA
Enumeration date
08/06/2009
Last updated
09/27/2017
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