Individual
HARAM PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(857) 636-2517
Mailing address
580 COMMONWEALTH AVE UNIT 606, BOSTON, MA 02215-2500
(857) 636-2517
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2325236
MA
Other
Enumeration date
08/21/2023
Last updated
08/24/2023
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