Individual provider · Type 1 NPI

Olivia Renee Soudry, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1073372694 Active

Practice location

720 Harrison Ave Ste 914
Boston, MA 02118-2334

Call (617) 638-8540 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073372694

Olivia Renee Soudry, MD's National Provider Identifier is 1073372694, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 18, 2024.