Individual
MARA WERMUTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1609 EGLIN ST, BEDFORD, MA 01731-2613
(781) 377-4740
(781) 274-8538
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5413
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
105469
MA
Other
Enumeration date
01/16/2006
Last updated
07/08/2007
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