Healthcare Provider Details

I. General information

NPI: 1679620181
Provider Name (Legal Business Name): ELIZABETH A DOBROWSKI APRNBC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 COMMONWEALTH AVE
CHESTNUT HILL MA
02467-3800
US

IV. Provider business mailing address

95 SANDY BEACH RD
PLYMOUTH MA
02360-3230
US

V. Phone/Fax

Practice location:
  • Phone: 617-552-3225
  • Fax:
Mailing address:
  • Phone: 508-295-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number139955
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: