Individual
VIVIAN ELIZABETH ABERNETHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 HARRISON AVE, DOB-4, BOSTON, MA 02118-2371
(617) 638-7480
Mailing address
650 ALBANY ST, X-5, BOSTON, MA 02118-2647
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
158788
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3198090
—
MA
Enumeration date
11/29/2005
Last updated
06/16/2009
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