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1477689156
LISA DOHERTY WATT
BOSTON, MA
NPI
1477689156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: MA 231486)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
LISA DOHERTY WATT PNP
55 FRUIT ST DACC CLINICS 313 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114-2621
Phone number: 617-643-1097
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Mailing Address
LISA DOHERTY WATT PNP
27 WOODMAN ST #2
JAMAICA PLAIN, MA 02130-3801
Phone number: 617-983-0270
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