Individual
PAULA PICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4656
(617) 491-5586
(617) 661-5995
Mailing address
575 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4656
(617) 491-5586
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
123233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383180
—
MA
Enumeration date
05/02/2006
Last updated
03/11/2010
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