Healthcare Provider Details

I. General information

NPI: 1528433000
Provider Name (Legal Business Name): FRANCESCA CULLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 12/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 ELDREDGE ST
NEWTON MA
02458-2017
US

IV. Provider business mailing address

215 HARVARD AVE APT 9
ALLSTON MA
02134-4625
US

V. Phone/Fax

Practice location:
  • Phone: 617-969-4925
  • Fax:
Mailing address:
  • Phone: 339-613-7802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: