Individual
MARY C CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
88 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-8605
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN156929
MA
Other
Enumeration date
05/04/2006
Last updated
10/03/2017
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