Individual
JOSE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CPNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2263069
MA
Other
Enumeration date
07/08/2022
Last updated
02/18/2023
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