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Individual

NANCY T CALLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
132 CENTRAL STREET, STE 116, FOXBORO, MA 02035
(508) 543-6306
Mailing address
132 CENTRAL ST, SUITE 116, FOXBORO, MA 02035-2433
(508) 543-6306
(508) 543-2976

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
142275
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN142275
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP9845
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/20/2006
Last updated
12/20/2011
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