Individual
ASAF VIVANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF NEPHROLOGY. BCH., BOSTON, MA 02115-5724
(617) 919-9983
Mailing address
17 JOHN ST, BROOKLINE, MA 02446-3719
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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