Individual
MRS. LIJIMOL BIJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WHITE STREET, CAMBRIDGE, MA 02140-0214
(617) 876-5519
Mailing address
36 WHITE STREET, CAMBRIDGE, MA 02140
(617) 876-5519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020066953
MA
363LF0000X
Family Nurse Practitioner
Primary
RN261144
MA
Other
Enumeration date
12/09/2020
Last updated
09/26/2022
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