Individual
CHANTAL PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-9184
(617) 667-1020
Mailing address
11 COLLINGS CIR, MEDFORD, MA 02155-1410
(617) 667-9184
(617) 667-1012
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
184951
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
184951
MA
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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