Individual
JULIE A MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5055
(617) 499-5045
Mailing address
330 MOUNT AUBURN ST, SUITE 110, CAMBRIDGE, MA 02138-5502
(781) 391-2705
(781) 395-4778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2263049
MA
Other
Enumeration date
07/11/2012
Last updated
03/31/2016
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