Individual
DR. KRYSTLE RAE TUANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-8801
(617) 726-2085
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-8801
(617) 726-2085
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
291134
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2014
Last updated
08/11/2022
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