Organization
NEUROPATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENTE VEGA III (MANAGER)
(305) 498-6050
Entity
Organization
Contact information
Practice address
106 QUEENSBERRY ST, # 18, BOSTON, MA 02215-4713
(305) 498-6050
Mailing address
106 QUEENSBERRY ST, # 18, BOSTON, MA 02215-4713
(305) 498-6050
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
9201
MA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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