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1811724107
NICHOLAS GARDELLA
BOSTON, MA
NPI
1811724107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA RN2350584)
Enumeration Date
2024-09-19
Last Update Date
2024-12-12
Business Address
NICHOLAS GARDELLA PMHNP-BC
179 LONGWOOD AVE
BOSTON, MA 02115-5896
Phone number: 508-373-5657
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Mailing Address
NICHOLAS GARDELLA PMHNP-BC
11 CHELSEA WAY
TYNGSBORO, MA 01879-2520
Phone number: 978-806-6968
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