Individual
MARY THERESE DUGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6034
Mailing address
38 RESERVOIR RD, COHASSET, MA 02025-1622
(781) 383-2052
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
168981
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363L00000X
APN TAXONOMY CODE
MA
Enumeration date
11/11/2009
Last updated
11/11/2009
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