Individual
MAURA E. HOSSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASS AVE, CROSSTOWN 2, BOSTON, MA 02118-2605
(617) 414-4376
(617) 414-4676
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2259349
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087101A
—
MA
Enumeration date
08/19/2010
Last updated
09/27/2017
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