Individual
MARY NORATO INDEGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT STREET BLK 10, MGH WOMENS HEALTH ASSOCIATES, BOSTON, MA 02114
(617) 724-6700
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATIONS INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
119813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308315
—
MA
01
—
NP467
BCBS
MA
Enumeration date
11/22/2006
Last updated
07/08/2007
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