Individual provider · Type 1 NPI

Justin Scott Heidel, MD

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

NPI number 1376246199 Active

Practice location

110 Francis St Ste 9B
Boston, MA 02215-5501

Call (617) 632-9236 Map

Fax (617) 632-7424

Mailing address

330 Brookline Ave
Boston, MA 02215-5491

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 1376246199

Justin Scott Heidel, MD's National Provider Identifier is 1376246199, issued on Mar 22, 2023. 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 28, 2023.