Individual
DEBORAH J BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 FRUIT STREET, MGH CLINICS 115, BOSTON, MA 02114
(617) 726-3800
Mailing address
55 FRUIT STREET, MGH CLINICS 115, BOSTON, MA 02114
(617) 726-3800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
210635
MA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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