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Individual

JENNY NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BLAKE 1500, BOSTON, MA 02114-2696
(617) 724-3874
(617) 643-1781

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9443
MA

Other

Enumeration date
05/09/2023
Last updated
10/04/2023
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