Individual provider · Type 1 NPI

Veronica Margo Kortum

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

NPI number 1417196460 Active

Practice location

780 American Legion Hwy
Roslindale, MA 02131-3908

Mailing address

103 Fox Rd, Unit 623
Waltham, MA 02451-0215

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 1417196460

Veronica Margo Kortum's National Provider Identifier is 1417196460, issued on Feb 16, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roslindale, MA. The record was last updated on Feb 16, 2009.