Individual
MAUREEN NOTHNAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-4100
Mailing address
86 SAINT BOTOLPH ST APT 4, BOSTON, MA 02116-7476
(585) 208-4765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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