Individual
OWEN NICHOLAS PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5267
Mailing address
293 SHAWMUT AVE, APT. 5, BOSTON, MA 02118-2147
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
224922
MA
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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