NPI 1154729341

Cory J Manhertz

Practitioner Contractor Boston, MA

Practice location

Address: 193 Hamilton St, Boston, MA 02122-1504
Phone: (617) 704-3635

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1154729341
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2014
Record last updated: 20 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.