Individual
AMANDA ROSE BAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
218 MARION ST, BOSTON, MA 02128-1758
(617) 635-8372
(617) 535-8376
Mailing address
224 COURT RD, WINTHROP, MA 02152-2825
(781) 858-1400
(617) 207-9623
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
233859
MA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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