Individual
MR. EDWARD NOONAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
800 WASHINGTON STREET, CARDIAC CARE UNIT, BOSTON, MA 02111
(617) 636-6407
Mailing address
800 WASHINGTON STREET, CARDIAC CARE UNIT, BOSTON, MA 02111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2321850
MA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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