Individual
JOSEPH LICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
80 GUEST ST, BOSTON, MA 02135-2071
(800) 981-5084
Mailing address
80 GUEST ST, BOSTON, MA 02135-2071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR15558100
NJ
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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