Individual
MS. MARY KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1100
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209862
MA
Other
Enumeration date
06/13/2005
Last updated
01/08/2015
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