Individual
MR. SCOTT ADAM PASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(978) 882-6191
Mailing address
102 ENDICOTT ST, DANVERS, MA 01923-3623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2273752
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2273752
MA
Other
Enumeration date
08/22/2017
Last updated
09/13/2024
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