Provider Demographics
NPI:1770925547
Name:PROULX, FRANCESCA (MD)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:PROULX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BROOKLINE AVE
Mailing Address - Street 2:APT. 1201
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3930
Mailing Address - Country:US
Mailing Address - Phone:857-247-9992
Mailing Address - Fax:
Practice Address - Street 1:150 BROOKLINE AVE
Practice Address - Street 2:APT. 1201
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3930
Practice Address - Country:US
Practice Address - Phone:857-247-9992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256876390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program