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Individual

MRS. ELIZABETH A. MAFFIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2400
(617) 533-2478
Mailing address
85 MORTON ST, CANTON, MA 02021-1526
(781) 828-7657

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
194529
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720198
MA
Enumeration date
10/04/2006
Last updated
04/11/2011
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