Individual
MS. PATRICIA ALICIA QUEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 RIVER ST, BRAINTREE, MA 02184-3235
(781) 848-7177
Mailing address
28 RIVER ST, BRAINTREE, MA 02184-3235
(781) 848-7177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1100327
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380254
BLUE CROSS
—
01
—
670063
TUFT HEALTH PLAN
—
01
—
702225
HARVARD
—
Enumeration date
05/29/2007
Last updated
07/08/2007
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