Healthcare Provider Details

I. General information

NPI: 1871416693
Provider Name (Legal Business Name): COMFORT DANSOAA TWUMASI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 PILGRIM RD
BOSTON MA
02215-5324
US

IV. Provider business mailing address

35 PETIPAS LN
RANDOLPH MA
02368-4918
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-7000
  • Fax:
Mailing address:
  • Phone: 848-466-5760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2362446
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: