Individual
DR. MARY A VALLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF PALLIATIVE CARE, WORCESTER, MA 01605-2903
(508) 334-8630
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80045
MA
207RI0200X
Infectious Disease Physician
80045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3130941
—
MA
Enumeration date
11/25/2005
Last updated
04/08/2009
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