Individual
PAIGE DIMAMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE # KS121, BOSTON, MA 02215-5400
(617) 667-9920
Mailing address
330 BROOKLINE AVE # KS121, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2279036
MA
Other
Enumeration date
07/30/2015
Last updated
01/23/2017
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