Individual
IMELDA AURON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AMORY ST, BOSTON, MA 02130-2652
(617) 383-6522
Mailing address
555 AMORY ST, BOSTON, MA 02130-2652
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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