Individual
JACQUELYN MARIE NESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(610) 256-2293
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-7938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1019051
MA
207RR0500X
Rheumatology Physician
Primary
1019051
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
03/29/2024
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