Miller, Mary Dedick

Miller, Mary Dedick is an individual health care provider with primary practice located at 950 Winter St Suite 3800, Waltham MA 02451-1424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Miller, Mary Dedick can be contacted via phone (781) 472-8500.

Contact Information

Primary practice address
950 Winter St Suite 3800 Waltham MA 02451-1424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X MA Massachusetts

Profile Details

NPI number 1790834166
LBN Legal business name Miller, Mary Dedick
Credentials ANP,GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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