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Individual

MR. JOHN ROBERT NUGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
52 SHARON ST, PACT TEAM TRI CITY MENTAL HEALTH CENTER, MALDEN, MA 02148
(781) 338-8800
(781) 397-2108
Mailing address
246 WEST STREET, READING, MA 01867
(781) 944-4089

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
175275
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP0099
BCBSMA
MA
Enumeration date
12/12/2006
Last updated
07/08/2007
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