Individual
MARY DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
MASS GENERAL HOSPITAL, 55 FRUIT STREET CLN 115, BOSTON, MA 02114
(617) 724-8810
Mailing address
MASS GENERAL, 55 FRUIT ST CLINICS 115, BOSTON, MA 02114
(617) 724-8810
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
167676
MA
363LA2200X
Adult Health Nurse Practitioner
167676
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323161
—
MA
Enumeration date
09/20/2006
Last updated
03/20/2013
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