Individual
MIA HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACCNS-AG
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-2321
Mailing address
52 OREGON RD, SOUTHBOROUGH, MA 01772-2015
(603) 505-0152
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
RN2274345
MA
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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