Mary Ellen Obert PNP

NPI 1679719264 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1679719264
Gender Female
Enumeration Date 01/02/2009
Last Updated 01/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
55 FRUIT ST
COX 662
BOSTON MA, 02114-2621, US
Phone (617) 643-0172
Fax
Business Location
55 FRUIT ST
COX 662
BOSTON MA, 02114-2621, US
Phone (617) 643-0172
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Massachusetts
License Number 217554
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According to our database, Mary Ellen Obert PNP NPI is 1679719264, taxonomy code is 363LP0200X and license number is 217554, license state is located at Massachusetts. Mary Ellen Obert PNP physically located at 55 Fruit St, Boston MA, 02114-2621. NPI Number Mary Ellen Obert PNP has the Individual type.

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1679719264 NPI number is provided on an as is basis without warranty of any kind. 1679719264 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ellen Obert PNP are for informational purposes only.