Individual
MARY JANE DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BETH ISRAEL DEACONESS MEDICAL CENTER 185 PILGRIM RD, BOSTON, MA 02215-5324
(617) 632-7270
(617) 632-8224
Mailing address
185 PILGRIM RD, BOSTON, MA 02215-5324
(617) 632-7270
(617) 632-8224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
147469
MA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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