Mary Theresa Osullivan RN REGISTERED NURSE

NPI 1699944041 - Registered Nurse - 163W00000X

NPI Details
NPI 1699944041
Gender Female
Enumeration Date 02/29/2008
Last Updated 02/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
230 BOWDOIN ST
BOWDOIN ST HEALTH CENTER
DORCHESTER MA, 02122, US
Phone (617) 754-0100
Fax (617) 754-0230
Business Location
330 BROOKLINE AVE
BOSTON MA, 02215, US
Phone (617) 667-7000
Fax (617) 754-0230
Toxanomy
Taxonomy Code 163W00000X
License State Massachusetts
License Number 191735
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According to our database, Mrs. Mary Theresa Osullivan RN REGISTERED NURSE NPI is 1699944041, taxonomy code is 163W00000X and license number is 191735, license state is located at Massachusetts. Mary Theresa Osullivan RN REGISTERED NURSE physically located at 230 Bowdoin St, Dorchester MA, 02122. NPI Number Mary Theresa Osullivan RN REGISTERED NURSE has the Individual type.

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1699944041 NPI number is provided on an as is basis without warranty of any kind. 1699944041 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Theresa Osullivan RN REGISTERED NURSE are for informational purposes only.