person
Matthew Custodio
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1770042988

Matthew Custodio is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Matthew Custodio practices in Boston, MA. The NPI Number for Matthew Custodio is 1770042988 and holds a License No. (Massachusetts).

The current practice location address for Matthew Custodio is 725 Albany Street, Boston, MA and can be reached out via phone at 617-414-5951 and via fax at 617-414-9251.

Location: 725 Albany Street, Boston, MA, 02128
person
Provider Profile Details
NPI Number
1770042988
Provider Name
Matthew Custodio
Credential
Provider Entity Type
Individual
Gender
Male
Address
725 Albany Street, Boston, MA, 02128
Phone Number
617-414-5951
Fax Number
617-414-9251
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
725 Albany Street
City
State
Zip
02128
Phone Number
617-414-5951
Fax Number
617-414-9251
person
Provider Business Mailing Address Details
Address
725 Albany Street
City
State
Zip
02128
Phone Number
617-414-5951
Fax Number
617-414-9251
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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