Individual
CHRISTIAN JAVIER ASHBY PADIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 HARRISON AVE BLDG 4TH, BOSTON, MA 02118-2905
(617) 638-6604
Mailing address
820 HARRISON AVE BLDG 4TH, BOSTON, MA 02118-2905
(617) 638-6604
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
PR
Enumeration date
04/09/2021
Last updated
05/24/2023
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