Individual
DR. RONALD W MORTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 WOODWARD ST, WABAN, MA 02468-2027
(617) 964-4341
(617) 964-1023
Mailing address
353 WOODWARD ST, WABAN, MA 02468-2027
(617) 964-4341
(617) 964-1023
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
45935
MA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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