Individual
MS. JOAN MACCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
236 HIGHLAND AVE, 2ND FL, SOMERVILLE, MA 02143-1495
(617) 591-4332
Mailing address
236 HIGHLAND AVE, 2ND FL, SOMERVILLE, MA 02143-1495
(617) 591-4332
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN187052
MA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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