Individual
ELISA BETH HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3299
Mailing address
93 GREENWOOD RD, ANDOVER, MA 01810-3343
(978) 474-0105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19606
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19606
LISENCE
MA
Enumeration date
01/22/2007
Last updated
07/08/2007
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