Individual
RONEN CUPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING NORTH, SUITE 5108, BOSTON, MA 02118-2908
(617) 638-7053
Mailing address
1 BOSTON MEDICAL CTR PL, DOWLING NORTH, SUITE 5108, BOSTON, MA 02118-2908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
02/05/2015
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