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Individual

CYNTHIA PODESTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
59 BROADWAY, TAUNTON, MA 02780-3120
(877) 557-3155
Mailing address
79 RANDALL ST APT 2, PAWTUCKET, RI 02860-3770

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2298283
MA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
RN2298283
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2298283
MA

Other

Enumeration date
08/26/2021
Last updated
12/26/2022
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