Individual
ALBERT J PROIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
84 STATE ST STE 660, BOSTON, MA 02109
(800) 370-3651
Mailing address
100 MAIN ST, WELLFLEET, MA 02667-7434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP181031
ME
363LF0000X
Family Nurse Practitioner
Primary
RN2287796
MA
Other
Enumeration date
06/21/2018
Last updated
12/26/2018
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