Individual
AMALA SOOKLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3190
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2301071
MA
Other
Enumeration date
07/08/2024
Last updated
01/08/2025
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