Individual
SYLVIE CECILE MISKAVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35 GEORDIE LN, HUBBARDSTON, MA 01452-1664
(978) 928-4748
Mailing address
35 GEORDIE LN, HUBBARDSTON, MA 01452-1664
(978) 928-4748
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
210224
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0710199
MASS.HEALTH PROVIDER #
MA
Enumeration date
04/04/2007
Last updated
07/08/2007
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