Individual
MAUD 5 PAULHONORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-5453
Mailing address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-5453
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52100
—
MA
05
—
5213649
—
MA
Enumeration date
11/21/2022
Last updated
11/21/2022
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