Ally IV & Therapeutics, INC
NPI #1366033102 in Boston, Massachusetts
Provider Information
- NPI Number
- 1366033102
- Entity Type
- Organization
- Organization Name
- Ally IV & Therapeutics, INC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 2, 2021
- Last Updated
- Feb 2, 2021
Practice Location
- Address
- 305 NEWBURY ST STE 41
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02115-2833
- Phone
- (617) 600-4235
Authorized Official
- Name
- MRS. SUSAN SSERUNKUMA WILKINSON, NP
- Title
- PRESIDENT/FOUNDER
- Phone
- (617) 600-4235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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