Search › Massachusetts › 111NN1001X
Patricia Boulogne
NPI 1861725715 · on the registry since 2009
Practice
- Address
- 148 Quincy Shore Dr Apt 29
Quincy, MA 02171 - Phone
- (617) 901-0925
Registry record
- Primary taxonomy
- 111NN1001X
111NN1001X
- Also registered as
- 171100000X
111NS0005X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts