Individual
ADAM CORL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(774) 573-3116
Mailing address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(774) 573-3116
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2346671
MA
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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