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Individual

MELISSA T NASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
850 HARRISON AVENUE, YACC 5, BOSTON, MA 02118
(617) 414-5946
(617) 414-4541
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
253734
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110094987A
MA
Enumeration date
04/20/2007
Last updated
11/18/2013
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