| Neuropath Llc | |
|
106 Queensberry St # 18 Boston MA 02215-4713 | |
| (305) 498-6050 | |
| Not Available |
| Full Name | Neuropath Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 106 Queensberry St, Boston, Massachusetts |
| Authorized Official Name and Position | Clemente Vega (MANAGER) |
| Authorized Official Contact | 3054986050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropath Llc 106 Queensberry St # 18 Boston MA 02215-4713 Ph: (305) 498-6050 | Neuropath Llc 106 Queensberry St # 18 Boston MA 02215-4713 Ph: (305) 498-6050 |
| NPI Number | 1598015984 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598015984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 9201 (Massachusetts) | Primary |
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