Individual
INGRID LONG YUN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVE, SUITE 6A, CROSSTOWN BLDG, BOSTON, MA 02118
(617) 414-5951
(617) 414-9201
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2337453
MA
363LP2300X
Primary Care Nurse Practitioner
RN2337453
MA
Other
Enumeration date
11/04/2021
Last updated
08/14/2024
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