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Individual

BARBARA A POREMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Mailing address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP114394
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0703503
MA
01
NP2265
BS
MA
Enumeration date
07/29/2006
Last updated
07/08/2007
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