Individual
NILSE LENE GONCALVES DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
Mailing address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1019582
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
04/25/2024
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