Individual
ZIA MARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
165 CAMBRIDGE ST FL 6, BOSTON, MA 02114-2783
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN10001930
MA
Other
Enumeration date
08/29/2024
Last updated
04/08/2026
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