Individual
MARY J HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1493 CAMBRIDGE ST, PRIMARY CARE CENTER, CAMBRIDGE, MA 02139-1047
(617) 665-1536
Mailing address
1493 CAMBRIDGE ST, PRIMARY CARE CENTER, CAMBRIDGE, MA 02139-1047
(617) 665-1536
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
226791
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP1447
BCBS MA
MA
Enumeration date
11/22/2006
Last updated
11/15/2007
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