Individual
CRAIG NALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(508) 326-5767
Mailing address
55 FRUIT ST, WHITE 1,, BOSTON, MA 02114-2621
(617) 724-4100
(617) 726-7415
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E872236
MA
363A00000X
Physician Assistant
Primary
PA5745
MA
Other
Enumeration date
06/09/2016
Last updated
01/27/2023
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