Individual
JORGE ALBERTO VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 619-5980
Mailing address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 619-5980
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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