Individual
MS. CATHLEEN MARIE POLIQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1124
(617) 724-1126
Mailing address
80 EMERALD CT, TEWKSBURY, MA 01876-5208
(617) 724-1124
(617) 724-1126
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
109023
MA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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