Healthcare Provider Details

I. General information

NPI: 1114619277
Provider Name (Legal Business Name): MARIA C DOLCE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 05/25/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TUSDM 1 KNEELAND ST
BOSTON MA
02111
US

IV. Provider business mailing address

TUSDM 1 KNEELAND ST
BOSTON MA
02111
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-6828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN2280661
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: