Individual
NISHA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 FURNACE BROOK PKWY STE 100B, QUINCY, MA 02169-4789
(617) 433-7699
Mailing address
1322 COMMONWEALTH AVE APT 9, BOSTON, MA 02134-3913
(936) 465-7367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77237-SP-SL
MA
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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