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Nelly Padua
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NPI Number Detailed Information
Provider Information:
Name: | Nelly Padua |
Gender: | F |
Provider License Number If Given: | 207263 |
NPI Information:
NPI: | 1568457083 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 9/12/2005 |
Last Update Date: | 8/15/2018 |
Provider Business Mailing Address:
Address: | 700 ESSEX ST 700 ESSEX STREET Lawrence, MA 01841 |
Phone Number: | 9786892400 |
Fax Number: | 9786830663 |
Provider Business Practice Location Address:
Address: | 700 ESSEX ST 700 ESSEX STREET Lawrence, MA 01841 |
Phone Number: | 9786892400 |
Fax Number: | 9787223037 |
Provider Taxonomy:
Primary: | 363L00000X |
Secondary (if any): | |
State: | MA |