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Individual

MRS. SHARON J GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
330 BROOKLINE AVE, ST-10, BOSTON, MA 02215-5400
(617) 667-3940
(617) 667-2155
Mailing address
330 BROOKLINE AVE, ST-10, HMFP - ORTHOPAEDIC SURGERY, BOSTON, MA 02215
(617) 667-3940
(617) 667-2155

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78636
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0385841
MA
Enumeration date
12/08/2008
Last updated
12/08/2008
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