Individual
MS. MARYELLEN B BUCKLEY CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
287 WESTERN AVE, ALLSTON, MA 02134-1010
(617) 783-0500
(617) 783-5514
Mailing address
77 MASS AVE E 23-230, MIT MEDICAL, CAMBRIDGE, MA 02139
(617) 253-4431
(617) 355-4085
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
122618
MA
Other
Enumeration date
05/02/2007
Last updated
08/25/2010
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