Individual
MR. KELLY ERNESTO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3096
(617) 726-2000
Mailing address
10 STONEFIELD MEWS LN, PITTSFORD, NY 14534-2889
(917) 361-6807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2388821
MA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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