Individual
MRS. DEBORAH ROUSSINOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-3710
(857) 364-6547
Mailing address
104 BROOKS AVE, ARLINGTON, MA 02474-8515
(781) 641-1575
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
181746
MA
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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