Individual
MARY POMERLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, ELLISON 13, BOSTON, MA 02114-2621
(617) 724-5310
Mailing address
55 FRUIT ST, ELLISON 13, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
168951
MA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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