Individual
PAUL WALTER JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1560
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257442
MA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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