Individual
MRS. MARY E HACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
175 FOREST ST, WALTHAM, MA 02452-4713
(781) 891-2222
Mailing address
175 FOREST ST, WALTHAM, MA 02142-4705
(781) 891-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
261162
MA
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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