Provider Demographics
NPI:1093876518
Name:HURLEY, JULIE ELIZABETH (PAC)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ELIZABETH
Last Name:HURLEY
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 HEALTH ST
Mailing Address - Street 2:#2
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145
Mailing Address - Country:US
Mailing Address - Phone:617-699-8901
Mailing Address - Fax:617-278-6965
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA FARBER CANCER INST MAIL CODE DIB 30
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6084
Practice Address - Country:US
Practice Address - Phone:617-732-8053
Practice Address - Fax:617-278-6965
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAP2263363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant