Individual
AMY KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, COX 630, BOSTON, MA 02114-2621
(617) 724-4825
Mailing address
55 FRUIT ST, COX 630, BOSTON, MA 02114-2621
(617) 724-4825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4260
MA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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