(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003559519
Provider Name: PAULINE PARK
Entity Type: Individual
Taxonomy Code: 172V00000X
Specialty: Community Health Worker
License Number:
Most Important Dates
Enumeration Date: 04/14/2022
Last Updated: 04/14/2022
Provider Practice Location
117 SUMMER ST
SOMERVILLE
MA
021432706
Practice Location Phone/Fax
Phone: 6173542275
Fax:
Provider Mailing Location
117 SUMMER ST
SOMERVILLE
MA
021432706
Provider Mailing Phone/Fax
Phone:
Fax: