Individual
RICHARD L AHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
55 FRUIT ST, GRAY-JACKSON 504, BOSTON, MA 02114-2621
(617) 726-3906
Mailing address
55 FRUIT ST, COX 5, BOSTON, MA 02114-2621
(617) 724-5158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
216193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713325
—
MA
Enumeration date
03/22/2006
Last updated
07/07/2014
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