Individual
ELKE PRAVDA GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 5 AND 6, BOSTON, MA 02118-2526
(617) 414-5951
(617) 414-9201
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2262276
MA
363L00000X
Nurse Practitioner
Primary
RN2262276
MA
Other
Enumeration date
12/18/2009
Last updated
10/16/2018
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