Individual
COURTNEY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL RM 1322, BOSTON, MA 02118-2908
(617) 414-4929
Mailing address
1 BOSTON MEDICAL CTR PL RM 1322, BOSTON, MA 02118-2908
(617) 414-4929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
289982
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/20/2021
Last updated
07/13/2021
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