Individual
MR. IRVIN HIRALALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
28 JULIA ST, MALDEN, MA 02148-6530
(347) 221-6954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2292491
MA
363LA2100X
Acute Care Nurse Practitioner
RN2292491
MA
Other
Enumeration date
09/24/2019
Last updated
04/21/2020
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