Individual
CONSTANCE M DAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT STREET, MGH PALLIATIVE CARE SERVICES FND 6, BOSTON, MA 02114
(617) 724-8659
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
186458
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386201
—
MA
Enumeration date
11/24/2006
Last updated
07/08/2007
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