Individual
MARY TRABULSI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
55 FRUIT ST, FOUNDERS 454, BOSTON, MA 02114-2621
(617) 724-2229
(617) 724-3498
Mailing address
55 FRUIT ST, FOUNDERS 454, BOSTON, MA 02114-2621
(617) 724-2229
(617) 724-3498
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
204215
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59151
FALLON
MA
01
—
TRCN0279
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
03/20/2013
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