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Individual

PAULA JEANNE MOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 WASHINGTON ST # 70, BOSTON, MA 02111-1552
(617) 636-3299
(617) 636-4769
Mailing address
800 WASHINGTON ST # 70, BOSTON, MA 02111-1552
(617) 636-3299
(617) 636-4769

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG09190171
MA
363L00000X
Nurse Practitioner
Primary
RN193989
MA

Other

Enumeration date
10/26/2019
Last updated
04/11/2022
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