Individual
ENEL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
231 MAIN ST STE 300, BROCKTON, MA 02301-4342
(508) 586-2660
Mailing address
500 WESTGATE DR # 1039, BROCKTON, MA 02301-1855
(781) 864-0165
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2304620
MA
Other
Enumeration date
09/18/2021
Last updated
10/05/2022
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