Individual
MARY P ORENCOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT STREET GRB 109, MGH CARDIAC UNIT ASSOCIATES, BOSTON, MA 02114
(617) 724-7739
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
155135
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN155135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4732
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/27/2005
Last updated
06/23/2025
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