Individual
MARIE N BUISSERETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 LITTLEFIELD RD, NEWTON, MA 02459-3010
(781) 642-1859
Mailing address
83 LITTLEFIELD RD, NEWTON, MA 02459-3010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
265921
MA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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