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Individual

MS. ALICE BRIDGET POTTACKAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
89 ACCESS RD STE 24, NORWOOD, MA 02062-5233
(781) 551-0999
Mailing address
89 ACCESS RD STE 24, NORWOOD, MA 02062-5233
(781) 551-0999

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/21/2020
Last updated
08/21/2020
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