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Individual

ANNE M. PLUNKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1302
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85371
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0357511
MA
01
HV0816
BLUE CROSS
MA
01
PN263
HARVARD PILGRIM
MA
Enumeration date
08/30/2006
Last updated
04/07/2009
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