Individual
IRA MINTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1032
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35667
MA
Other
Enumeration date
02/06/2007
Last updated
12/02/2011
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