Individual
MARYJANE B GIACALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT STREET GRB, 109, BOSTON, MA 02114-2696
(617) 726-8514
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
208187
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700789
—
MA
01
—
NP2828
BCBS
MA
Enumeration date
12/11/2006
Last updated
07/08/2007
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