Individual
CIERA JOYCE MAFFEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
55 ROUTE 130, FORESTDALE, MA 02644-0549
(508) 477-5306
(508) 477-0297
Mailing address
P O BOX 549, FORESTDALE, MA 02644-0549
(508) 477-5306
(508) 477-0297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
241970
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
241970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174794523
—
MA
Enumeration date
06/08/2012
Last updated
08/21/2012
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