Individual
AISOSA OMERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 TREMONT ST, BOSTON, MA 02120-3432
(617) 858-2432
(617) 989-3054
Mailing address
1290 TREMONT ST, BOSTON, MA 02120-3432
(617) 858-2432
(617) 989-3054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354190
NY
Other
Enumeration date
08/23/2024
Last updated
09/09/2025
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