Individual
AGOSTINO MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 ELM ST, SOMERVILLE, MA 02144-2956
(617) 623-6111
Mailing address
255 ELM ST, SOMERVILLE, MA 02144-2956
(617) 623-6111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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