person
Harley Damarputra
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1467239277

Harley Damarputra is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Harley Damarputra practices in Boston, MA. The NPI Number for Harley Damarputra is 1467239277 and holds a License No. (Massachusetts).

The current practice location address for Harley Damarputra is 66 Canal St, Boston, MA and can be reached out via phone at 617-371-3030.

Location: 66 Canal St, Boston, MA, 02135-3638
person
Provider Profile Details
NPI Number
1467239277
Provider Name
Harley Damarputra
Credential
Provider Entity Type
Individual
Gender
Male
Address
66 Canal St, Boston, MA, 02135-3638
Phone Number
617-371-3030
Fax Number
Provider Enumeration Date
09/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
66 Canal St
City
State
Zip
02114-2002
Phone Number
617-371-3030
Fax Number
person
Provider Business Mailing Address Details
Address
66 Canal St
City
State
Zip
02114-2002
Phone Number
617-371-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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