Individual
AMY E POLEWACZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 GARFIELD ST APT B, QUINCY, MA 02169-2029
(207) 210-4012
Mailing address
51 GARFIELD ST APT B, QUINCY, MA 02169-2029
(207) 210-4012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07240749
MA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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