Individual
JACQUELYN PIRAQUIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-8000
Mailing address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
275634
MA
Other
Enumeration date
03/19/2018
Last updated
06/11/2019
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