Individual
BINTOU MARONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2310646
MA
363LA2200X
Adult Health Nurse Practitioner
311000
NY
Other
Enumeration date
08/31/2022
Last updated
06/21/2024
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