Individual
MARY JANE ESTRADA-LYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6573
(617) 243-6070
Mailing address
15 SELKIRK RD, BRIGHTON, MA 02135-7811
(617) 968-1535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
230517
MA
Other
Enumeration date
12/14/2005
Last updated
06/13/2016
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