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Individual

REBECCA K ANTONELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7395
(617) 730-0601
Mailing address
22 GOODWIN ST, BRIDGEWATER, MA 02324-2730
(774) 526-7757

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5543
MA

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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