Individual provider · NPI-1
Holly Beaudoin, RCIS
Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist · Boston, MA
NPI number1790521144
StatusActive
Last updated in NPPESJul 5, 2024
Details
- NPI
- 1790521144
- Entity type
- Individual (NPI-1)
- Name
- Holly Beaudoin
- Credential
- RCIS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2024
- Certification date
- Jul 5, 2024
- Last updated
- Jul 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246XC2901X | Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist | 126264 | – | Yes |
Practice location
75 Francis StBoston, MA 02115-6110
Phone 617-732-5500
Mailing address
9207 Station CirDedham, MA 02026-4592
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