Individual
MARIE-THERESE METALLIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FELLSWAY, MEDFORD, MA 02155-4925
(781) 391-2668
Mailing address
51 SAUNDERS ST, ALLSTON, MA 02134-1929
(617) 835-4606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20238
MA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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