Individual
REGINALD SARPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, AGACNP-BC
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-2856
(781) 744-8000
Mailing address
46 OLGA AVE, WORCESTER, MA 01605-2856
(508) 818-3914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2356463
MA
363LA2100X
Acute Care Nurse Practitioner
RN2356463
MA
Other
Enumeration date
10/06/2023
Last updated
11/14/2023
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