Martha Louise Stewart NP

NPI 1619156163 - Nurse Practitioner - 363LX0106X

NPI Details
NPI 1619156163
Gender Female
Enumeration Date 11/01/2007
Last Updated 11/10/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
101 MERRIMAC ST
RM. 420
BOSTON MA, 02114-4724, US
Phone (617) 726-6370
Fax
Business Location
101 MERRIMAC ST
RM. 420
BOSTON MA, 02114-4724, US
Phone (617) 726-6370
Fax
Toxanomy
Taxonomy Code 363LX0106X
License State Massachusetts
License Number 129499
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According to our database, Ms. Martha Louise Stewart NP NPI is 1619156163, taxonomy code is 363LX0106X and license number is 129499, license state is located at Massachusetts. Martha Louise Stewart NP physically located at 101 Merrimac St, Boston MA, 02114-4724. NPI Number Martha Louise Stewart NP has the Individual type.

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1619156163 NPI number is provided on an as is basis without warranty of any kind. 1619156163 is maintained by the National Plan & Provider Enumeration System. The contents of Martha Louise Stewart NP are for informational purposes only.