Individual
MARY KENNELLY FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP - BC
Contact information
Practice address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 472-8569
(781) 472-9802
Mailing address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 472-8569
(781) 472-9802
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP36928
RI
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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