Individual
MONINA TOPACIO CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FRUIT STREET, GRB 444 ANESTHESIA AND CRITICAL CARE, BOSTON, MA 02114
(617) 726-3030
Mailing address
PO BOX 9142, MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02114-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
075589
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN212106
MA
Other
Enumeration date
03/13/2008
Last updated
11/21/2023
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