Nicole Mushero
Internal Medicine, Geriatric Medicine in Boston, MA. Individual provider (NPI-1).
NPI number1033596754
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1033596754
- Entity type
- Individual (NPI-1)
- Name
- Nicole Mushero
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2015
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 273622 | MA | Yes |
Practice location
72 E Concord StRobinson 2
Boston, MA 02118-2642
Phone 617-638-6100 · Fax 617-638-6179
Mailing address
960 Massachusetts AveBoston, MA 02118-2620
Other practice locations
1493 Cambridge St
Cambridge, MA 02139-1047
Cambridge, MA 02139-1047
Phone 617-665-1068
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