Individual
RICKY PAMPHILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
49 TIFFANY DR, RANDOLPH, MA 02368-5184
(617) 980-6882
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2276083
MA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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