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Individual

TERRY ANNE DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118-2908
(617) 414-5481
(617) 414-7759
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN157220
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110015781A
MA
Enumeration date
02/08/2006
Last updated
08/11/2017
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