Individual
ENMANUEL ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 WASHINGTON ST STE 303, BRAINTREE, MA 02184-4768
(978) 394-1911
Mailing address
400 WASHINGTON ST STE 303, BRAINTREE, MA 02184-4768
(978) 394-1911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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