Serena L Santoro

NPI 1700939873 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1700939873
Gender Female
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
26 CITY HALL MALL
MEDFORD MA, 02155-4754, US
Phone (781) 306-5100
Fax
Business Location
147 MILK ST
BOSTON MA, 02109-4806, US
Phone (617) 421-2508
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Massachusetts
License Number 130010
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According to our database, Serena L Santoro NPI is 1700939873, taxonomy code is 363L00000X and license number is 130010, license state is located at Massachusetts. Serena L Santoro physically located at 26 City Hall Mall, Medford MA, 02155-4754. NPI Number Serena L Santoro has the Individual type.

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1700939873 NPI number is provided on an as is basis without warranty of any kind. 1700939873 is maintained by the National Plan & Provider Enumeration System. The contents of Serena L Santoro are for informational purposes only.