Individual
DR. LUISE INGEBORG MARIA PERNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 3 SUITE A, BOSTON, MA 02118
(617) 414-4861
(617) 414-3617
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
233239
MA
208600000X
Surgery Physician
Primary
239216
MA
Other
Enumeration date
06/21/2007
Last updated
07/06/2016
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