Individual
BARBARA MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
55 PROCTOR AVE, REVERE, MA 02151-2912
(781) 289-6887
Mailing address
55 PROCTOR AVE, REVERE, MA 02151-2912
(781) 289-6887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4565
MA
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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