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Individual

MS. MARY ELIZABETH COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-BC

Contact information

Practice address
44 BINNEY ST, CP-301, BOSTON, MA 02115-6013
(617) 632-4653
(617) 582-8550
Mailing address
44 BINNEY ST, CP-301, BOSTON, MA 02115-6013
(617) 632-4653
(617) 582-8550

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238634
MA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
238634
MA
163WX0200X
Oncology Registered Nurse
238634
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MC07617851
MASSACHUSETTS CONTROLLED SUBSTANCE REGISTRATIOM
MA
Enumeration date
12/18/2009
Last updated
12/18/2009
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