Individual
LAURA J MACNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 DEACONESS RD # WCC2, BOSTON, MA 02215-5321
(617) 754-2335
Mailing address
274 CHESTNUT AVE, JAMAICA PLAIN, MA 02130-4414
(617) 754-2335
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14631
NH
207P00000X
Emergency Medicine Physician
Primary
204110
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000663A
—
MA
Enumeration date
01/05/2007
Last updated
03/31/2025
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