Individual
CARMEN ANTONELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
578 MAIN ST, MALDEN, MA 02148-3900
(781) 321-3422
(781) 321-1863
Mailing address
578 MAIN ST, MALDEN, MA 02148-3900
(781) 321-3422
(781) 321-1863
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
181556
MA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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