Individual
MARY A BADARACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
185 PILGRIM RD, BETH ISRAEL DEACONESS MED. CTR, BOSTON, MA 02215-5324
(617) 632-7789
Mailing address
274 BEACON ST, UNIT 2, BOSTON, MA 02116-1230
(617) 632-7789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39851
MA
Other
Enumeration date
06/02/2006
Last updated
02/22/2021
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