Individual
TERESA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 WINTER ST, WALTHAM, MA 02451-1424
(781) 472-8772
Mailing address
3 NOON HILL AVE, NORFOLK, MA 02056-1118
(508) 553-9850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
216085
MA
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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