Individual
ELIZABETH PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 ACORN ST, MILLIS, MA 02054-1413
(617) 759-6439
Mailing address
144 ACORN ST, MILLIS, MA 02054-1413
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AH8146
MA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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