Individual
TERESA LINDA VANDERBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP-BC
Contact information
Practice address
55 FRUIT ST, GRAY 241, BOSTON, MA 02114-2621
(617) 726-1767
(617) 726-3089
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC., CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN246872
MA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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