Individual
JESSICA CARLY SOPHIA MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8460
(781) 744-5261
Mailing address
28 BIGELOW ST, APT. B, CAMBRIDGE, MA 02139-2302
(973) 886-8075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258125
MA
207RC0000X
Cardiovascular Disease Physician
Primary
258125
MA
Other
Enumeration date
04/20/2011
Last updated
07/07/2016
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