Individual
TIFFANY MOUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8367
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8367
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
243110
MA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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