Organization
MANEUVER HEALTH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARMELITO TAVARES MORENO (PRESIDENT)
(857) 499-0014
Entity
Organization
Contact information
Practice address
459 COLUMBIA RD APT 2, BOSTON, MA 02125-4209
(857) 499-0014
Mailing address
459 COLUMBIA RD APT 2, BOSTON, MA 02125-4209
(857) 499-0014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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