Individual provider · Type 1 NPI

Alice Bridget Pottackal, MA

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

NPI number 1346852266 Active

Practice location

89 Access Rd Ste 24
Norwood, MA 02062-5233

Call (781) 551-0999 Map

Other practice locations

  • 89 Access Rd Ste 25, Norwood, MA 02062-5234 · (781) 551-0999

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 1346852266

Alice Bridget Pottackal, MA's National Provider Identifier is 1346852266, issued on Aug 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norwood, MA. The record was last updated on Aug 21, 2020.