Individual
PEARL ALWENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
273 RIDGE LN APT 308, WALTHAM, MA 02452-4990
(857) 316-8020
Mailing address
PO BOX 541378, WALTHAM, MA 02454-1378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2282883
MA
2084P0800X
Psychiatry Physician
Primary
RN2282883
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78188
—
MA
Enumeration date
02/01/2018
Last updated
07/20/2022
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