Individual
SUSAN STENGREVICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4910
Mailing address
1184 WESTFORD ST, CARLISLE, MA 01741-1403
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
150309
MA
282N00000X
General Acute Care Hospital
150309
MA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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