Provider Demographics
NPI:1083277420
Name:JOSEPH, PRAISEY (NP)
Entity Type:Individual
Prefix:
First Name:PRAISEY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Mailing Address - Street 1:MASSACHUSETTS ENT ASSOCIATES, INC
Mailing Address - Street 2:3 MEETING HOUSE RD SUITE 24
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824
Mailing Address - Country:US
Mailing Address - Phone:978-256-5557
Mailing Address - Fax:978-256-1835
Practice Address - Street 1:MASSACHUSETTS ENT ASSOCIATES, INC
Practice Address - Street 2:3 MEETING HOUSE RD SUITE 24
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:978-256-5557
Practice Address - Fax:978-256-1835
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2327405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner