Individual
JACK VINCIGUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 SCHOOL ST, BOSTON, MA 02108-5113
(617) 372-8156
(617) 372-8238
Mailing address
24 SCHOOL ST, BOSTON, MA 02108-5113
(617) 372-8156
(617) 372-8238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238881
MA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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