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Individual

MARGARET R BUONANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
450 BROOKLINE AVE # D3125, BOSTON, MA 02215-5418
(617) 582-8032
(617) 632-1990
Mailing address
12 RICKER RD, NEWTON, MA 02458-2127
(617) 969-0806

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1864
MA
363AM0700X
Medical Physician Assistant
1864
MA

Other

Enumeration date
04/10/2006
Last updated
07/21/2022
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