Individual
DENISE L FARRELL-SANSEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1191
(617) 421-5828
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1191
(617) 421-5828
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360881
—
MA
01
—
9642747-001
CIGNA
MA
01
—
HV0627
BCBS
MA
01
—
N984
HPHC
MA
Enumeration date
01/12/2007
Last updated
10/29/2020
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