Individual
DEBORAH A. TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ONE BOSTON MEDICAL CENTER PLACE, DOWLING 1 NORTH, BOSTON, MA 02118
(617) 414-7757
(617) 414-7759
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN105976
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025005A
—
MA
Enumeration date
12/14/2005
Last updated
07/15/2014
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