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Ms. Mary C Cassidy, NP
Adult Health Nurse Practitioner in Brookline, Massachusetts
NPI 1568438729

Mary C Cassidy is an Adult Health Nurse Practitioner based in Boston, MA and is specialized in Adult Health. Mary C Cassidy practices in Brookline, MA and has the professional credentials of NP. The NPI Number for Mary C Cassidy is 1568438729 and holds a License No. 129190 (Massachusetts).

The current practice location address for Mary C Cassidy is 11 Kent St, Brookline, MA and can be reached out via phone at 617-447-2147 and via fax at 617-264-9763.

Location: 11 Kent St, Brookline, MA, 02136-2040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568438729
Provider Name
Mary C Cassidy
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11 Kent St, Brookline, MA, 02136-2040
Phone Number
617-447-2147
Fax Number
617-264-9763
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0347001 05 MA
NP2539 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
11 Kent St
City
Brookline
State
Massachusetts
Zip
02445-7901
Phone Number
617-447-2147
Fax Number
617-264-9763
person
Provider Business Mailing Address Details
Address
11 Kent St
City
Brookline
State
Massachusetts
Zip
02445-7901
Phone Number
617-447-2147
Fax Number
617-264-9763
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
129190 (Massachusetts)
Definition
Definition to come...
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